HomeMy WebLinkAboutF2020-0416 - Permit ApplicationPrint Form {
Worksheet for Fire Permit Application o�"m
City of Newport Beach -Building Division
Please print 3 copies
Associated Building Permit# r Fire Sprinkler r Fire Alarm Q Fire Misc
1. Project Address (Not mailing address)
418 VIA LIDO
Tenant Name RYE GOODS BAKERY
2. Description of Work
INSTALLATION OF FIRE SUPPRESSION SYSTEM
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft F
(? New (- Add F- Alter F- Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use
Valuation $ 950.00
# Stories
I— 3. Owner's Name
Last 1 M F
Owners Address
1
Owner's E-mail Address
City F
State I - Zip F Telephoned
i- 4. Architect/Designer's
Name Last First F_ Lic. No.�
ArchitecVDesigner's Address
ArchitectlDesigner's E-mail Address
City I
State F_ Zip F_ TelephoneF_
5. Engineer's Name
Last First Lic. No. F
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip I- Telephoned
DZ 6. Contractor's Name
Last SHETRIT First RIEL Lic. No. F22177 Class -16
Contractor's Address
Contractors E-mail Address
755 REMMET AVENUE
UN ITEDFI RESVC@SBCGLOBAL.NET
City CANOGA PARK
State CA Zip 91304 Telephone 818-346-2499
OFFICE USE ONLY
PERMIT NO. to to . V
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $
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