HomeMy WebLinkAboutF2018-0480 - Permit ApplicationPrintfor
Please print 3 copies
Associated Building Permit #
sheet for Fire Permit Application
City of Newport Beach - Building Division
❑ Fire Sprinkler ❑ Fire lalr��r7 Fire Misc
1. Project Address (Not mailing address) Floor Suite No
-�_J l>_._� ice. _ F7
Tenant Name 1fS� #Units
2. Description of Work
use
— - -
City _ _ -
Extg Sq Ft New/Added Sq Ft Total Sq Ft
Valuation $
>C -New r7Add F7Alter ❑ Demo
#Stories
� Check Appropriate Box for Applicant/Notification
❑ 3. Owner's Name
Last First
Owner's Address
Owner's E-mail Address
— - -
City _ _ -
--
- _ State F77ZipF777TelephoneF
❑ 4. Architect/Designer's Name Last First ��
Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State Zip F777:7] Telephone
❑ 5. Engineer's Name
Last First
Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State Zip Telephoned
❑ 6. Contractor's Name Last First �C. Lic. NClass
\
Contractor's Address
Contractor's E-mail ddre
City �StateZip .Telephone -l\ -�
���---
OFFICE USE ONLY
f✓ /1h �O obIll PERMIT NO.
TYPE OF CONSTRUCTION
` nr,;-PLANCHECKNO.OCCUPANCY
(
t
-`GROUP
PLAN CHECK FEE $'