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HomeMy WebLinkAboutF2019-0414 - Permit ApplicationWorksheet for Fire Permit Application ��`°°°"q City of Newport Beach - Building Division Please print 3 copies �<�Foar,� Associated Building Permit # F_ Fire Sprinkler F— Fire Alarm F— Fire Misc 1. Project Address (Not mailing address) Floor Suite No 20y©z W'cw po, _ I)rve F— Tenant Name S% t Ll -/] y� Al #Units �� C � /L 2. Description of Work Use � Ze/OcuF:�J F'� S fl-,hk/'-r. FOo� EMg Sq Ft New/Added Sq Ft F Total SolFt Valuation $ F_ New F_ Add F� Alter F_ Demo # Stories Check Appropriate Box for ApplicantlNotification F_ 3. Owner's Name Last First Owner's Address Owner's E-mail Address City State �— Zip F_ Telephoner 7 4. Arch itecUDesigner's Name Last FirstF Lic. No.l Architect/Designers Address I Architect/Designer's E-mail Address City I State F_ Zip F_ Telephone f 5. Engineer's Name Last First Lic No. Engineer's Address Engineer's E-mail Address City �— State �T Zip F TelephoneF I— 6. Contractor's Name Last it'eK l ; f h 1 First[— Lic No. F; 2.Yf class Contractors Address Contractor's E-mail Address It069 5'ky fafk yifeli dki —m-rc(P ptX �rtSrS(°tt� city f.vi�1G State Zip J261y Telephone` -1 337'9G77 OFFICE � PERMIT NO. Z I ��0I ' TYPE OF CONSTRUCTION ` " PLAN CHECK NO. OCCUPANCY - GROUP LC�� �Z, PLAN CHECK FEE $