HomeMy WebLinkAboutX2020-2894 - Permit ApplicationWorksheet for Fire Permit Application url;
Print Form City of Newport Beach -Building Division Please print 3 copies
Associated Building Permit #
❑ Fire Sprinkler ❑ Fire Alarm ❑ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
3 I CororJGdv S}ree-�_7
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Tenant Name # Units
�3e,� �6 b 2r� �!
2. Description of Work
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Flr� SPr;Nkle�s S�/$iCnh 1N SIN9/t r�� / C�wellsr�
Use
Valuation $�
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Extg Sq Ft II New/Added Sq Ft Total Sq Ft
�,�D,,b O
1 �3
New ❑ Add ❑ Alter ❑ Demo � �" "�'
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# Stories
Check Appropriate Box for Applicant/Notification r
Infnrmn*1^n
[713. Owner's Name Last First
Owner's Address Owner's E-mail Address
City State FI Zip F Telephoned
❑i 4. Arch itect/Designees Name Last First Lic. No.
ArchitectlDesigner's Address Architect/Designer's E-mail Address
City State F71 Zip Telephoned
❑' 5. Engineer's Name Last _ J First Lic. No.l
Engineer's Address Engineer's E-mail Address t q
I ,
City State F-77 Zip Telephoned
�6. Contractor's Name Last 12��ertq First ctfC Lic. No. Fol31c Class
Contractor's Address Contractor's E-mail Address
_?0 C30•p ZWA A U XNcir-c( M (e10, r, q TLC1g5 Q� cvtia,) CW&I
City ��Ngrcj State C� Zip q,�314 Telephone $i8��(0$—IGo�
OFFICE USE ONLY j j [✓' J PERMIT NO. 2 li " Ti
TYPE OF CONSTRUCTION I T Jt PLAN CHECK N U ZRq �J
OCCUPANCY - GROUP V PLAN CHECK FEE $ /