HomeMy WebLinkAboutF2019-0653 - Permit ApplicationWorksheet for Fire Permit Application 490'
Print Form City of Newport Beach - Building DivisionPlease print 3 copies
Associated Building Permit# 2018-3006 (— Fire Sprinkler jX Fire Alarm j— FireMisc
1. Project Address (Not mailing address) Floor Suite No
300 Newport Blvd
Tenant Name Ivue Hamptons # Units
2. Description of Work
Fire Alarm `( Use Restaurant
�t Valuation $ 7200
Extg Sq Ft �— New/Added Sq Ft F Total Sq Ft F098
r New r Add r Alter j—" Demo #Stories F
mppropnate MOX Tor Applicant/Notification
j— 3. Owner's Name Last F—
First
Owner's Address
Owner's E-mail Address
City
State Zip F— Telephone—
r 4. ArchitectlDesigner's Name
Last First F-- Lic. No.
�—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �— Zip Telephone
r 5. Engineer's Name Last
First Lic. No.l
j�
Engineer's Address
Engineer's E-mail Address
City
State F— Zip F— Telephone—
r 6. Contractor's Name Last Moore First Pon Lic. No. 0 G lassFC
Contractor's Address
Contractor's E-mail Address 30 { ��
955 Borra Place
, Lmoore@bergelectric.com
City Escondido
State Ca Zip 92027 Telephone 10-256-3098
OFFICE USE ONLY
/ (1 PERMIT NO.
D
TYPE OF CONSTRUCTION
PLAN CHECK NO. 2--
OCCUPANCY- GROUP
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PLAN CHECK FEE $
A21 11A,%0-- 1 -2 -