HomeMy WebLinkAboutF2020-0218 - Permit ApplicationWorksheet for Fire Permit Application
�J�� City of Newport Beach - Building Division
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Associated Building Permit # F Fire Sprinkler �Y I— Fire Alarrmm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
Tenant Name # Units
2. Description of Work
/LaO 41A1 .t, 4 11n N/"/° /3 Q oCD/lo Use 2�
Extg Sq Ft r ' New/Added Sq Ft F— Total.Sq Ft Valuation$ f C �0
IX New r Add r Alter r (— Demo # Stories
V-13 -5 ? kT,
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last 8 J� FirstnC G
Owner's Address Owner's E-mail Address
City �— State F_ Zip Telephoned
r 4. Architect/Designer's Name Last
First F --j Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City I I IState F ZIP I Telephoned '
r` 5. Engineer's Name Last FirstI. -— Lic. No.
Engineer's Address Engineer's E-mail Address
City StateI Zip F Telephone
d—
r 6. Contractor's Name Last Schro_edt, IL First Lic. No. 'lj Class7'
3
Contractor's Address Contractor's E-mail Address
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Ci Tele hone
city State 177 Zip[ �v-�c�L7 p J/ F�/r� •��1�
OFFICE USE ONLY
TYPE OF CONSTRUCTION —
OCCUPANCY- GROUP
PERMIT NO. T%ow — bZ
Z �U3 PLAN CHECK NO. 5 6-5 - �•-0
PLAN CHECK FEE $