Loading...
HomeMy WebLinkAboutF2020-0282 - Permit ApplicationPlease print 3 copies Associated Building Permit # 1. Project Address (Not do°OaRr Worksheet for Fire Permit Application � m City of Newport Beach - Building Division 9� t�� s3 a20�02�2 Fire Sprinkler [ Fire Alarm r Fire Misc address) ` Floor I_ 1fj0 CC=,VQ lV/� 9266j Tenant Name o k ie-esiA,,t ( -C #Units 2. Description of Work t.e,?wC Extg Sq Ft F Ne /Added Sq Ft 4/ / -71.7Z, Total Sq Ft31� Z I—' New F- Add r Alter F- Demo G q Check Appropriate Box for Applicant/Notification Suite No Use U Valuation $ ()C) E Ston L) FS F 3. Owner's Name Last First [_ Owner's Address Owner's E-mail Address City State F Zip Telephoner r- 4. Architect/Designer's Name Last First F Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F Zip F Telephoned! r, 5. Engineer's Name Last I First F Lic. No. F Engineer's Address Engineer's E-mail Address City State r Zip F Telephoner 6. Contractor's Name Last FirstLic. No. 2S/S2 Class b Contractor's Address Contractor's E-mail e rf GrFIS f °U 9 Ce .t h'a i y-1 nAddress City no State �� Zip q_ (71 p Telephone S62 �l9 7t(�j /- OFFICE USE ONLY PERMIT NO. V --.O ZC� O' TYPE OF CONSTRUCTION PLAN CHECK NO. J 11 �> ' Z_0 Z_0 OCCUPANCY- GROUP ^ Oi?PJ-% PLAN CHECK FEE $