Loading...
HomeMy WebLinkAboutX2021-0207 - Permit ApplicationWorksheet for Fire Permit Application }ja�21-d10o�`W��� City of Newport Beach - Building Division o Please print 3 copies 5• o• " Associated Building Permit # t I Fire Sprinkler [, Fire Alarm ❑ Fire Misc 1. Project Address (Not mailing address) Floor Suite No E�7 Tenant Name #Units 2. Description of Work ,,.... _._ �lJeu7 3- S jV7 1-e -�- Far m t e!l r �--per L/ . Use.. Extg Sq Ft �. New/Added Sol Ft �� Total Sq Ft LI Valuation $ C( S,i)0.J -44 [� New [Add [Alter C Demo #Stories L�—J Check Appropriate Box for Applicant/Notification 1 nfn�m �+inn 3. Owner's Name Last &44416 2• First / Owner's Address Owner's E-mail Address L-0 R�I'J00 Er� �lVd_, -- -- --- -- .� City � par �Clcbr__; State / i Zip _'.,' Telephone _- 4. ArchitectlDesigner's Name Last First Lic. No.77 Architect/Designer's Address Architect/Designer's E-mail Address City State r, Zip Telephoned-- — _ [ 5. Engineer's Name Last _ First F__, Lic. No. Engineer's Address Engineer's E-mail Address ---------- City State --------------------------...._.---�. SLtate �'. Zips Telephone— lc, Contractor's Name Last OY412 First _.._.. - �(�QV Lic. No. Q�y(}3 Class(P --- Contractor's Address Contractor's E-mail Address IlEiClol. 'f ,q_(� - -- (..... -/_;I---aG`�I©Y City --.-. e?r_1:ek?da / State C q- Zip Telephon OFFICE USE ONLY y{�°f +, b I�01 PERMIT NO. ! • �QU"I TYPE OF CONSTRUCTION ^� nN/! PLAN CHECK NO. 1/17��1 •�2 OCCUPANCY - GROUP PLAN CHECK FEE $