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HomeMy WebLinkAboutF2019-0350 - Permit ApplicationWorksheet for Fire Permit Application City of Newport Beach - Building Division Please print 3 copies Associated Building Permit # I �W 1,j (3 C 0 j,_ ire Sprinkler F_ Fire Alarm r; Fire Misc 1. Project Address (Not mailing address) Floor Suite No 2, 0o ( W t-oot�`ff bi F -2- Tenant Name vvtiwa --r't, , UAtl V__ # Units 2. Description of Work Use Q� ��6 L7( �'% Z �J �I ✓✓v �N(YVt '��'PiV' �.��C� - v F--New/Added valuation $ zl Extg Sq Ft Sq Ft �—, Total Sq Ft F: ' New Add ,-Alter rF_r Demo #Stories V SP\"Z Check Appropriate Box for Applicant/Notification L.C.. ..4: I--3.Owner's Name Lastl '�..rrwrw First Owner's Address Owner's E-mail Address z. oq 3 t fit • o cP! — City _�L6c-ei State ZipZip C( '2,(,Q(� Telephone— F 4. Architect/Designer's Name Last FirstF Lic. No.�- Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip F_. Telephone F 5. Engineer's Name Last JO (. Jc7"W f,) First— Lic No. Engineer's Address Engineer's E-mail Address City State �— Zip F_ Telephone F 6. Contractor's Name Last ���[� AVJ) �� �C., First2�— Lic. No. p( L / [ lass[T__((o YY Contractor's Address Contractor's E-mail Address Zt�3 t D a i Vf- e r W . City l "L State Zip 'Telephone"1.G) OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION -7 PLAN CHECK NO.- OCCUPANCY - GROUP PLAN CHECK FEE $ V`ZU \!f1 _oZ-,S6