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HomeMy WebLinkAboutF2019-0252 - Permit ApplicationPrint Form T�7 Please print 3 copies) /iV I Associated Building Permit # Worksheet for Fire Permit Application OZI� City of Newport Beach - Building Division vO1"L Cql rj' Fire Sprinkler F-', Fire Alarm r Fire Misc t 1. Project Address (Not mailing address) Floor Suite No 31�61 J//��OmW zy 22 _ FW Q Tenant Name VCI, _ _ # Units r—.-_......- 2. Description of Work Owner's Address �.eloc�t�e C'�, exs�i�S�eGcPs Use Extg Sq Ft f - ------ New/Added Sq Ft �.� Total Sq Ft Valuation $ 3 QUv F_ New Add Alter r Demo # Stories Check Appropriate Box for Applicant/Notification F_ 3. Owner's Name Last First --- Owner's Address Owner's E-mail Address City � State F_ Zip [— Telephoned r 4. Architect/Designer's Name Last First I-. -- -', Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F� Zip F_ Telephone F- S. Engineer's Name Last First Lic. No. Engineer's Address Engineer's E-mail Address City State F Zip Telephone V6.Contractoes;Name Last f �QT� First �1t�� Lic. No. l4`f��Zj Class C )(o Contractor's Address Contractor's E-mail Address X (16 N 1rVW `11_ GM I oll incev-F Aed v i2 e yyy -D (cvr� City Wm vY State Zip I 0 lU UV W Telephone 5102_-V?2-,j+ (03 OFFICE USE ONLY PERMIT NO. O Z5%r ©CSZ a Zq 1 r TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY-GROUP`iJ� PLAN CHECK FEE $