HomeMy WebLinkAboutF2020-0413 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
/-� f\ • (A 13
Fire Sprinkler n Fire Alarm r; Fire Misc
1. Project Address (Not mailing address) Floor Suite No
F F-7,
-
Tenant Name IP j # Units
2. Description of Work
City
�r----
State F j Zip � Telephone
Use j
�G
Architect/Designer's E-mail Address
City �—
Extg Sq Ft—� New/Added Sq Ft F Total Sq Ft
Valuation $ ��Ce
VNew ) Add r Alter (! Demo
#Stories
Check Appropriate Box for Applicant/Notification
1 nfnrm.�F'n.�
3. Owner's Name
Last �— First �—
Owner's Address
Owner's E-mail Address
I
City
�r----
State F j Zip � Telephone
r 4. Architect/Designer's Name Last First Lic. No. �--'
Architect/Designees Address
Architect/Designer's E-mail Address
City �—
State Zip (--� Telephone
F7 5. Engineer's Name
Last First F—' Lic. No. F
Engineer's Address
- Engineer's E-mail Address
City - State �—, Zipi Telephone(--_____'
�6//. Contran/c7torTs Name
Lic. No. ��l(�4 ! Class -7
Last �� — First FG ZZ
l:� .
Contractor's Address
Contractor's E-mail Address
�7 �iLS-j7ftFt✓6-��__. �Co10.v 0c-,30w�i R-_� ��Are>.cau
City +V�—/ S4 ✓J
—,
State L I I—II Zip Telephone .71 — X675
OFFICE USE ONLY
PERMIT NO. FIO ZO •— D4 ri J
TYPE OF CONSTRUCTION
PLAN CHECK NO. - ZO ZO
OCCUPANCY- GROUP
PLAN CHECK FEE $