HomeMy WebLinkAboutF2019-0625 - Permit ApplicationFNorksheet for Fire Permit Application�j �
Print Form_71 City of Newport Beads - Building Division_ W , �� /
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Associated BuildingPennit# fiire5prinkler [1— RreAlarm F' FireMisc
1. Project Address (Not mailing address)
111600 Newport Center Drive
Tenant Name Bank of New York - Mellon
2. Description of Work
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EA9 Sq Ft j Now/Added S18 Ft F Tota1 Sq I't F
F New F Add F Aker F Demo
Check Appropriate Box for Appiicant/Nol ication
Floor
Suite No
2nd
20D
,# Urfm
Use
Valuation a3Uo
# Stories
F 3.Owners Nam
Last
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Owners Address
Owners E-mail Address
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State F—
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F 4. Architect/Desigrters Naive lastil Fuss l Ur- No.
ArciutedlDesigner's Address
ArdMectMesignees
E-mall Address
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State F
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Last
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Engineers Address
EngineWs EmaO Address
11
City
State
Zip F—
Telephoned—
i!X 6. Contractors Name
Last I Savoy First PWn
Uw- No. 15 Class Ci6
Conl aloes Address
Conha"s.Eanail Address
I2810 E. Miratoma Ave
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City (Anaheim
state Ca
Zipj928116
Telephon 714d125-6500
OFF/CEUSEONLY
PERMIT NO. ,I=wnI�1 Of f
L 01'
TYPE OF CONSTRUCTION
PLAN CHECK NO. a M
OCCUPANCY - GROUP
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PLAN CHECK FEE $
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