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HomeMy WebLinkAboutF2018-0488 - Permit ApplicationPrint Form Please print 3 copies Associated Building Permit # Worksheet for Fire Permit Application City of Newport Beach - Building Division �� 7 5,73 �, I �; Fire Sprinkler ❑ Fire Alarm 2F20 o" o� U S ❑ Fire Misc 1. Project Address (Not mailing address) Floor Suite No 2W7-_ 6-I — avP�rr --- - ---- --- Tenant Name __ _ # Units II�� 2. Description of Work Use �l�e-5-P✓IVIkers �G JFR (50-spr, (ki VST-- — Sq Ft � Valuation $ �70Extg E­7— New/Added Sq Ft Total Sq Ft / r,7 New r_7 Add ❑Alter ❑Demo # Stories Check Appropriate Box for Applicant/Notification I nfnrro�4'�n ❑ 3. Owner's Name Last L First Owner's Address Owner's E-mail Address City State F77 Zip F 777 Telephoned ❑ 4. Architect/Designer's Name Last Vfl First FX�� Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address S -z 'v l i r yC a P✓R fzo,ygfr z��t 11 �. GYRI City WeSf__�t/ 4 _-_� State�� Zip ZZ/ d Telephone��(j..G� /` F-71 Lic. N 7 ❑ 5. Engineer's Name Last I First �o. Engineer's Address Engineer's E-mail Address ��JJ city _ — State/� Zipl� Telephone ❑ 6. Contractor's Name Last �` Ua('Q vFirstF77—7 Lic. No. !/Z Class 16 Conttrra�cttor's` Address {� Contractor's E-mail Address city c Q State © ZipFqoZg Telephone t � r� OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY - GROUP �� �� PLAN CHECK FEE $