Loading...
HomeMy WebLinkAboutF2019-0412 - Permit ApplicationFU I i Worksheet for Fire Permit Application City of Newport Beach - Building Division Please print 3 copies Associated Building Permit # Fire Sprinkler F7 Fire Alarm Fire Misc 1. Project Address (Not mailing address) Floor Suite No 1, ii � 13ct,t,�vt,'�tA✓ I '� _ � S %, Tenant Name �. _ rJ� I # Units �V 2. Description of Work City ��I1�11Apl ,t'j—(,�,�, Use rel tx C. t (� Extg Sq Ft F_�, New/Added Sq Ft � j Total Sq Ft Valuation $ 'I F_I New F_ Add I— Alter Demo # Stories Check Appropriate Box for Applicant/Notification F7 3. Owner's Name Last ��©JY t� "r g First F — Owner's Address Owner's E-mail Address City ��I1�11Apl ,t'j—(,�,�, to G' _i Zip gbzj(o Telephone( __ _.... 4. Arch itects/D�e�signer's Name Last �— FirstF--! Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State I --i Zip F_. Telephoned ri 5. Engineer's Name Last �,,,r,� ©, _ �� First F_ Lic No Engineer's Address Engineer's E-mail Address City -_-- State [--- Zip F-.'. Telephoned F, 6. Contractor's Name Last FA-tL jw ri vt l First F_ —', Lic. No, FQaA4 51ass� Contractor's Address Contractor's E-mail Address Zz icy vusti dJeL Ltcv1 D�. alllpv City � �� /' �r ,� , State Zip 4Zy���"1 Telephone ZI� v wN✓ OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION l / PLAN CHECK NO. I t !�: ✓ I, OCCUPANCY -GROUP Oro `� �I PLAN CHECK FEE $ -jp, Kj"o