HomeMy WebLinkAboutF2020-0120 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies '—
Associated Building Permit # I F✓flFire Sprinkler r Fire Alarm F7, Fire Misc
1. Project Address (Not maillm
I _�15_ .JMrva'LINE6+✓L-��'DNA-__D�(,-My.F1�-----
Tenant Name I H-�N(z j
2. Description of Work ?j
A f TY6 5ffaq-wtkI6z5 [b
Extg Sq Ft F7777
New/Added Sq Ft 3 660 Total Sq Ft
Fv-','-'New Add r Alter r' Demo
Check Appropriate Box for Applicant/Notification
FloorSuite No
F�7_
# Units rs
Use
Valuation $ (pj 6o0
# Stories
ri 3.Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City _
I
! State F7
Zip r Telephoned-----
F_ 4. Architect/Designer's Name
Last First Lic. No.
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
City
State
Zip Telephone
F 5. Engineer's Name Last
�—
First Lic. No.
Engineer's Address
Engineer's E-mail Address
city
State F—
Zip F Telephone
j-6. Contractor's Name Last
CriT �Z
e-_ _
First /� Oq k Lic. No. 67'j 0y Class -/6
7- F
Contractor's Address
Contractor's E-mail Address
f2�D vAlwoop_ /+� _
l7Et<REZ�../PKar� &II-1AIDL.Co6, '
City 1/ J+A4fiA- State CA'
Zip Telephone (0�.II2'-1 -1 117-
OFFICE USE ONLY
PERMIT NO.
)�
TYPE OF CONSTRUCTION
PLAN CHECK NO.
7z
OCCUPANCY - GROUP
�q
nfj_ I PLAN CHECK FEE $