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HomeMy WebLinkAboutF2020-0398 - Permit ApplicationWorksheet for Fire Permit Application Print Form ' pp City of Newport Beach - Building Division F Please print 3 copies 1 z0 20 • aJ 3 Q � owN`r Associated Building Permit # r Fire Sprinkler f- Fire Alarm Fire Misc 9. Project Address (Not mailing address) Floor Suite No 35 Wes+cliff Dr. / it: Tenant Name S 140 K U I-1 'P A -F t 5S E r I E # Units �" 2. Description of Work Cw 3UCk�YE [fl';tchetn Nn s}er 4�ce protect (o r1 Use Cookiv< 5 Fewt �Or n2W C�oki nc� 11OOc� Ext S Ft I -1 Valuation $ 300 0© 9 q New/Added Sq Ft Total Sq Ft I IDD I New f Add f Alter f"` Demo #Stories 5 - Check Check Appropriate Box for Applicant/Not!fication F 3. Owner's Name Last ��O'�-U li- PFETSS C- 2i C First �___�...r..._...._� Owner's Address Owner's E-mail Address 1'735WestcG4 ay- City-....�ew port _—j.� State cI a. Zip0 Telephoned f 4. Architec esigner's Name st First t p Lic No.� ArchitectlDesig is Addr Architect/Designer's E-mail Address City F----- ....-.�...�..�....�� �.�, v..�. State F . Zip Telephone[ f- 6. Engineer's Name Last F First Lic No, Engineer's Address Engineer's E-mail Address ....,..._..V......_.tl.:.�.........._........_._W,;. City ---., State Zip' Telephone f- 6. Contractor's Name Last QT -G b F 10 First Lic. No. (� Zl d%b Class Fc Contractor's Address ; 5(�FG-T`/ coup n Contractor's E-mail Address 1875 Pevl✓1 yyipY. Uv�ikc l�ircfech@yclho0, Covl City IS. Gi montc State Zip qi7� Telephone C)Jf��("bE�7 , OFFICE USE ONLY z�� PERMIT NO. 70" TYPE OF CONSTRUCTION OCCUPANCY j l C`" PLAN CHECK NO. l .��� -GROUP A fiw. PLAN CHECK FEE $