HomeMy WebLinkAboutF2013-0637 - Permit ApplicationAssociated Building Permit#
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Worksheet for Fire Permit Application
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City of Newport Beach. - Building Division
Fire Sprinkler i-:. Fire Alarm Li Fire Misc
1. Project Address (Not mailing address)
I / /6.44 P52./Vf /3u/t7/i./tr 32
Tenant Name (BAG /L/<.M/oA./AL /�o SPr74L
Floor Suite No
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# Units
2. Description of Work
CMe SP2/NK1.4'22 ?'i/F j,F, "/'r.'Actm. i✓* W'7711/2.1 , ;x,sr
7L/f/iJcy CTR <il rugcr
Extg Sq Ft New/Added Sq Ft
New r Add E: Alter F. Demo
Total Sq Ft ] I `, U o er
Use
Valuation $
/GZ, 2 o17O
# Stories
Check Appropriate Box for Applicant/Notification
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3. Owner's Name
Owner's Address
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City [ c y ?v4 ( cLt State one zip
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First Cleiia.-` t-
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Owner's E-mail Address
Cat°^ a 6r'ooleS ko t3 0�
012E63 ' Telephoner FQ 2SL(,fry3 3
P 4. Architect/Designer's Name Last I
Architect/Designers Address
City
State
Zi
First
ArchitectiDesigne
L4 i
E-mail Address
Lic. No.
Telephone!
IT 5. Engineer's Name Last First!
Engineer's Address Engineer's E-mail Addre
Ci
Lic. No.
j B. Contractor's Name Last I Kt/42
Contractor's Address
4/54lZ S'< _ germ
City
0/1/c v2!2A
State
First Ijdir fes Lic No. /10i73 Class
Contractors E-mail Address
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(_AY zip /v/4- Telephone! 62G 359-06351
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
PERMIT NO., 'f' 2013--0 .03 J
PLAN CHECI(NO 2.5610
15'WS
PLP(IVrCHgCK ' Ni$ :74, 7 I
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