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HomeMy WebLinkAboutF2019-0054 - Permit ApplicationPlease print 3 copies Associated Building Permit # 1 Oz37 a0i9 Worksheet for Fire Permit Application F,2o14-005N ap'sw " City of Newport Beach - Building Division o G4roPYJ M. L4 Fire Sprinkler I _ Fire Alarm r Fire isc Floor Suite No VQ Tenant Name #Units 2. Description of Work r�,�pt�v�KLCr is i _(3�) h.PcirlS Use Valuation $ 4F n r Eztg Sq Ft �.7i 7>�i ! New/Added Sq Ft Total Sq Ft _, �r WI #Stories �� ' New r' Add "' \ Alter (7!, Demo Check Appropriate Box for Applicant/Notification (- 3. Owner's Name Last First F Owner's Address Owner's E-mail Address ...�.... ._..... City F State F Zip F TelephoneF F- 4. ArchitectiDesigner's Name Last F First r Lic No. Architect/Designees Address Architect/Designers E-mail Address City State �— Zip �— Telephoners F7 5. Engineer's Name Last First F Lic. No. Engineers Address Engineer's E-mail Address _1 City State F—�, Zip � Telephone�� I 6. Contractor's Name Last �a� First S-I`I vC Lic. No. q� �� Class 3lQ WOU Contractors Address � � '1 �6 r',� Contractor's E-mail Address 1 f1� t� _� . �rv� � S,¢�� _ _ _ s�c��ek.e.P (�_fil�eSaFe� -� rs•-}. c� city �gn� O, State Zip ���(�� Telephone�iW?� OFFICE USE ONLY ��✓ Ilk PERMIT NO. TYPE OF CONSTRUCTION p l� l '� PLAN CHECK NO. OCCUPANCY- GROUP T PLAN CHECK FEE $ ZCs lei..