HomeMy WebLinkAboutF2021-0413 - Permit Application_vIN
o she t for Fire Permiit A -16' NG
City of Newport Beach - Building Dpp'oCatlOrl
ies
Permit#
R Fire Sprinkler
ct Address (Not mailing address)
/ant Name kER� c ol%FLt�I�'
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2. Description of Work
[i Fire Alarm F_ Fire Misc
Floor
# Units
Suite No
---------------
EMg Sq Ft I New/Added Sq Ft I Total Sq Ft �� Valuation $
Ej New [?/Add [; AlterDemo - -- --- F7
#Stories
Check Appropriate Box for AInfo,pplicant/Notification J
F-7 3. Owner's Name Last
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Owner's Address - - FirstF
lots Cor.. -pr -�
City !r��V�ti---� State
4. Architect/Designer's Name
H T7
City
❑ S. Engineer's Name
Owner's E-mail Address
Zip I Telephone
Last Co
- 4 VZ=._.___._ -- -I First _*14 G� Li4. No. 974. s
State
Architect/Designer's E-mail Address 1r ZBS'
Zip Telephone___,%WZwndIgq
- - ^^ 'rI
Last
----- First F___
Engineer's Address �—
City __-.- -
----�-__—_ State
E,6. Contractor's Name
Lic. No.
Engineer's E-mail Address - ----'
Zip[..-- Telephone��
Last
l ` �f-
---------- First �h� � � LIC. No.
- Sq tlg Class C-16
Contractor's Address - ---- --- -
Z Contractor's E-mail Address
City Mt w ILI, .cow.
State �- - ---
-._... J Zip Telephone1.r�
OFFICE USE ONLY
TYPE OF CONSTRUCTION PERMIT NO.ZJ, Uth
OCCUPANCY - GROUPJ,�' PLAN CHECK NO.
" `^l t/ ` ' PLAN CHECK FEE $ —�