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HomeMy WebLinkAboutF2019-0062 - Permit ApplicationPZ01q -t�'Z Please print 3 copies Associated Building Permit # Worksheet for Fire Permit Application oF�eW`°"a City of Newport Beach - Building Division J � s ✓ / L6 C9[�FOPN�'� Tia � — � l B Fire Sprinkler F Fire Alarm r Fire Misc 1. Project Address (Not mailing address) �S I rTV?Ca�OVe• Floor Suite No f- Tenant Name �N1. aG[AaVAq #Units 1 2. Description of Work City _,. Use 5✓iiu oz F $ R ✓ Ii 1� (U cat (07 sPr.���evS r�e���o F Extg Sq FtI\ F7, New r Add /New/Added Sq Ft �i Total Sq Ft Alter F- Demo Valuation $ ��—©� 2 j � - - --- #Stories I Check Appropriate Box for Applicant/Notification Infn�mn4inn [- 3. Owner's Name Last �— First F, Owner's Address Owner's E-mail Address City _,. State Telephoned—I F_ 4. Architect/Designer's Name Last First F Lic. No. (---' Architect/Designer's Address Architect/Designer's E-mail Address City � State Zip �—� Telephone[_______________ 5. Engineer's Name Last � First_.. \Lic No. - --- *�- CJ - 1S a -C Engineer's Address Engineer's E-mail Address City �— State—... ZiP-----! Telephone F— ( !6. Contractor's Name Last First l Lic. No. V3T3f& Class 1 I� Address Contractor's E-mail Address /CPontractor's .l ZJOoq_.... �' Pfr-✓ _ Ic_-c. TZ _ _ _ -�-irM�!.cP{,x-`-?-res�.s,/.co K,\ City / Vt�Q State Fc_A Zip L(P(q.. Telephonelrq/7q 3b? Z%T� OFFICE USE ONLY PERMIT NO.C7D�z— TYPE OF CONSTRUCTION PLAN CHECK NO. �i2sS ZO 1� OCCUPANCY -GROUP �� 7 PLAN CHECK FEE $ sry300�q 08 Bksd