Loading...
HomeMy WebLinkAboutF2019-0101 - Permit Application\2 V '� � � �lorksheet for Fire Permit Application qqlrt7D� City of Newport Beach - Building Division Pleaseprint3copies,�U1G_C)\ol Associated Building Permit # �7 0 `O [ 4S i e Sprinkler rF p F' Fire Alarm (—I Fire Misc t. Project Address (Not mailing address) Suite No j�Floor 5P Cor ___ -# Tenant Name i Units F.... _...... -.... -. 2. Description of Work City �— State F Zip I-- TelephoneF Use Ft e S�rir S so j �Lv 1 Architect/Designer's E-mail Address Extg Sq Ft r---- New/Added Sq Ft �i� Total Sq Ft 1— Valuation $ —"-" - - - -' New r Add F_ Alter r- Demo It Stories Check Appropriate Box for Applicant/Notification f—! 3. Owner's Name Last F— First F--'... Owner's Address Owner's E-mail Address City �— State F Zip I-- TelephoneF F_ 4. Arch itect/Designer's Name st /V.c",CIO zc? First Lic. No. �c(2fL6 Architect/Desi Address Architect/Designer's E-mail Address 12-3 city Ivw,JA rC, c� . �' State I - Zip `(W ((', Telephone �'•21 6 --. F 5. Engineer's Name Last First— Lic. No. Engineer's Address Engineer's E-mail Address — City State p& Contractor's Name Last First r.0 ty Lic No. ry Z &Z,3 Class C Contractor's Address Contractor's E-mail Address � --- city I I'V 0. c, � ��C-(_ - _ .. State (ftZip y(e /� -.- Telephoned__ OFFICE USE ONLY PERMIT NO. ?—©y5t —0IU TYPE OF CONSTRUCTION PLAN CHECK NO. 0(421 - ZOk \ OCCUPANCY - GROUP _ Z?�( PLAN CHECK FEE $