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HomeMy WebLinkAboutF2018-0129 - Permit ApplicationF ZO 14b - U 12`1 Print Form Please print 3 copies Associated Building Permit # Worksheet for Fire Permit Application City of Newport Beach - Building Division X,,2o/6 Q,ZS? e3 F- Fire Sprinkler r; Fire Alarm _ ire Misc Address F Suite, f G/aZO e, add ess) J f _ I A1'k&�r- # Units Tenant Name .c U -✓O t�,�[ l.W 2. Description of Work Use Ix t_7EC C'fiV)GE 7 j;c/e %Ori d[. O,5 -T© r✓ArchitecUDesigner's Nacmce`Last2_t G First �� Lic. No. J !� �/�/) Extg Sq Ft �; New/Added Sq Ft /!bI 7BB . Total Sq Ft �d� Valuation$ 75-% I # Stories 17 (—i New r', Add r[ Alter (—i Demo �7 State _..G Zip g. � ',, Telephone 9l/�..G42_-Q.2�PQ Check Appropriate Box for ApplicanVNotification 3.Owner's Name Last C First Owner's Address Owner's E-mail Address 6TY �046 qq City G_o Q '� -1 ^A_1� I,, State _C �., Zip Telephone 9�/�/U��� r✓ArchitecUDesigner's Nacmce`Last2_t G First �� Lic. No. J !� Architect/Designer's Address Architect/Designer's E-mail Address Lv _ 5 300 _. City ,e!/LNc__ �7 State _..G Zip g. � ',, Telephone 9l/�..G42_-Q.2�PQ ✓5. Engineer's Name Last �j�&Za� First �G��� tr Lic. No. o� 9V// Engineer's Address Engineer's E-mail Address city 3��ooi to, _.. State � _._ Zip -i Telephone rl!6. Contractor's Name Last '�/ G+ �!, First '-�', Lic. No. �i y CI/ass F / Contractor's Address Contractojs E-mail Address Contractorsec,, bdl—eullGk "� �jl _... 9I �..t/ ''' O /t✓ % .'c/Y� /.//`G ,..G'OY�%....... i city City �'- jr State Zip Telephone 71 3) 7 OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. (4 b OCCUPANCY- GROUP �1 \ l PLAN CHECK FEE $ aw ) I � V