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HomeMy WebLinkAboutF2019-0415 - Permit ApplicationWorksheet for Fire Permit Application r 2V �� ( City of Newport Beach - Building Division Please print 3 copies V Lq tVj Associated Building Permit # F F-1 Fire Sprinkler ri Fire Alarm �EW�Rr o� R� G r ' f�[onN rl Fire Misc C33) �+7-40S 1. Project Address (Not mailing address) First F Floor Suite No City State �� ZipF— Telephoner 4. ArchitectrDesigner's Name Last f ! First Lic. No, Tenant Name S� A.o <� may.. _ X//I j ---t #Units Zip [-`— Telephone 2. Description of WorkI First Wi: -S Lic. No. F-7 Engineer's Address Engineer's E-mail Address /nn,n- � h? �c2G�r'.Q. � �` _ 7✓ --_ _' Zip Gir1l gk�lC Telephone 55, .y5.3r-.c13,77 Use Contractor's Address ° Extg Scl Ft �: New/Added 5 Ft t� � Total S Ft F O 11�t/_JG _ IGyGG,.1.0%/c'4'�JlIJFtCf/uN.� Valuation $ �, - - ' -- --' New F- Add r Alter F_ Demo - . ,- iJs';6��/� OFFICE USE ONLY # Stories I -I�-SPS Check Appropriate Box for ApplicantlNotification ri 3. Owner's Name Last First F Owner's Address Owner's E-mail Address - City State �� ZipF— Telephoner 4. ArchitectrDesigner's Name Last f ! First Lic. No, Architect/Designer's Address _. ArchitecUDesigner's E-mail Address City F— State F_ Zip [-`— Telephone r7 5. Engineer's Name Last First Wi: -S Lic. No. F-7 Engineer's Address Engineer's E-mail Address City I State _�- Zip Gir1l gk�lC Telephone 55, .y5.3r-.c13,77 F-6. Contractor's Name Last I C'� _ First _Lic. No.�Class izi nN��3 l Contractor's Address Contractor's E-mail Address _�(�/Lf/_ �`�GS�S _.--1�✓�-_-- -_ O 11�t/_JG _ IGyGG,.1.0%/c'4'�JlIJFtCf/uN.� City /✓ti f- r r; i_ State �l LLLTTelephonel-, Zip ��uifs�/..(o �-�l'�7�-7 -.-- -. --. - . ,- iJs';6��/� OFFICE USE ONLY PERMIT NO.G©�� TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY - GROUP Z v PLAN CHECK FEE $