Loading...
HomeMy WebLinkAboutF2019-0293 - Permit Application—tWorksheet for Fire Permit Application oaeW�� (2 4111 City of Newport Beach - Building Division Please print 3 copies ;FoaN Associated Building Permit # i Fire Sprinkler r Fire Alarm r i Fire Misc 1. Project Address (Not mailing address) L(_I a--Lf ST- -_ Tenant Name 2. Description of Work Extg Sq Ft New/Added Sq Ft Total Sq Ft New F_ Add r Alter Demo Check Appropriate Box for Applicant/Notification Floor Suite No # Units Use _ p� Valuation $ j # Stories F7 3. Owner's Name Last ! First F I Owner's Address Owner's E-mail Address City �- _ State Zip F_Telephoned F_ 4. ArchitecVDesigner's Name Last 1 First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City �— State F_ Zip r— TelephoneF_Y F 5. Engineer's Name Last � First F Lic. No. F_ Engineer's (Engineer's E-mail Address City -... �_— State _. Zip F—; Telephoned _.. _... _..... . 6. Contractor's Name Last V First Lic No. Class G Contractor's Address Contractor's E-mail Address .lV. G'. �1-�'�-.f3.0'� S . __._. _'.... Fl CB•-'�'T e—Tt ,.� a °�'ftdv....Cowes city �� �,,,n .� State �G� Zip l�0,( Telephon j1.j� 7®,:�- -=7it/ OFFICE USE ONLY � ` PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. ► OCCUPANCY- GROUP 10 PLAN CHECK FEE $