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HomeMy WebLinkAboutF2018-0299 - Permit Application2,0ff ()2_q q Worksheet for Fire Permit Application City of Newport Beach - Building Division Please print 3 copies I Associated Building Permit # �— I Fire Sprinkler F. Fire Alarm (^ Fire Misc 1. Project Address (Not mailing address) Floor Suite No X35 _Sq �aeiut�_- - ___ Tenant Name F_ 4. Architect/Designer's Name Last P First Lic. No. # Units 2. Description of Work City iS �o`✓(_Vl�f rc�,4 -.-_- - -' State - C /7 Zip '�I I t�_._. Telephone l G t ! attU-.OI / 7 f— 5. Engineer's Name f e S'i�tiC�2 Ys R_ g7Ycti /e.,.--- Engineers E-mail Address Use - -- --- - State F Zip [7777 Telephone 7-7 F6. Contractor's Name Last l r ,�V Son0 �� First Lic. No. G0 Class W—' �" Y Valuation $7�OGp�._. Extg So Ft New/Added Sq Ft Total So Ft - i�� uci ss��i�rll. CPwi_ S[7 city - cq- State Zip , a Telephone l cA_ I �R72 7 Y 3i070[� OFFICE USE ONLY S-01Ql. 029q PERMIT NO. FS-01%- # Stories F- New F_ Add I— Alter F_ Demo - --- Check Appropriate Box for Applicant/Notification ri 3. Owner's Name Last - of 5eq First aYtO � Owner's Address Owners E-mail Address - i City F_— -.. _ State Zip Telephone d',. F_ 4. Architect/Designer's Name Last P First Lic. No. Architect/Designees Address Architect/Designers E-mail Address 15179-Y Y ice _}�y� --- —/—r(— �c� _ C1u sSC'�rM/9aryl c2�v� - City iS �o`✓(_Vl�f rc�,4 -.-_- - -' State - C /7 Zip '�I I t�_._. Telephone l G t ! attU-.OI / 7 f— 5. Engineer's Name Last First' Lic.No.� Engineer's Address Engineers E-mail Address City State F Zip [7777 Telephone 7-7 F6. Contractor's Name Last l r ,�V Son0 �� First Lic. No. G0 Class W—' �" Y Contractors Address Contractors E-mail Address Q593 VrcFdvr'9✓�. - i�� uci ss��i�rll. CPwi_ S[7 city - cq- State Zip , a Telephone l cA_ I �R72 7 Y 3i070[� OFFICE USE ONLY S-01Ql. 029q PERMIT NO. FS-01%- mn, 'Wo TYPE OF CONSTRUCTION 1[l�t�i�I • �5 PLAN CHECK NO. ,���(g OCCUPANCY - GROUP �(.�pj-t ���jj PLAN CHECK FEE $