Loading...
HomeMy WebLinkAboutF2021-0341 - Permit ApplicationPrint Form Please print 3 copies Associated Building Permit # Worksheet for Fire Permit Application o�EW�Ra City of Newport Beach - Building Division s D-- % %07 /�5 Z Fire Sprinkler r Fire Alarm r, Fire Misc 1. Project Address (Not mailing address) Floor Suite No &9T (21-1'-A Tenant Name ) #Units �^- --- 2. Description of Work / i /%t P.)FP I3 D S s �v� Use Valuations /�ILjDU Extg Sq Ft f-------- New/Added Sq Ft I�--.----- Total Sq Ft f-.��------.— - - v --�'�f KNew F' Add ( Alter r Demo # Stories 2. �� cJV1 Check Appropriate Box for Applicant/Notification F_ 3. Owner's Name ^ Last //l/�D FA41t-ILv I//tq�Firstf.------- U '--Ow,ner's Owner's Address E-mail Address City State �---- ZIP r---- TelePhone[--- F_ 4. Architect/Designer's Name Last First F--! Lic. No. r.----.--- Architect/Designees Address Architect/Designer's E-mail Address City State r-ZIP r-----i Telephone 5. Engineer's Name Last 'First F--------- Lic. No. Engineer's Address Engineer's E-mail Address City State F-.-- Zip r----.-, Telephone l------- 6. Contractor's Name Last , 2� j • F rst / S Fic. No. G17zL 2 Class CI —� Contractor's Address Con(tractorr�s E-mail Address Z2� _�- • � )'� j�t/� _ J�`T/\ J%%;2L �'�a�EC,JIo.�I.JCac�I City ��' J Li.L h.To•� _. State rG�- _ Zip �j 2 b 3 �. Telephone /q.57 _!' Y©UD OFFICE USE ONLY 2 � PERMIT NO. D It TYPE OF CONSTRUCTION PLAN CHECK NO. �" I OCCUPANCY - GROUP 7 r / 7 PLAN CHECK FEE $ 4 ZGG.SC) W13005y-75 � q 3012z