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HomeMy WebLinkAboutF2019-0044 - Permit ApplicationOlgy-ZO1q FZol9. ooy� Please print 3 copies Associated Building Permit# Worksheet for Fire Permit Application City of Newport Beach - Building Division Fire Sprinkler [Fire Alarm Fire Misc a9 1. Project Address (Not mailing address) Suite No �—Floorr Tenant Name ���#Units F 2. Description of Work Owner's E-mail Address Use t+d,iyCN-�i19-/ —I sic/%l 7 / is ,c3.v�f j�o.mer e--vA-bt-'q >•.� Zip �— Telephoner---__ r- 4. ArchitectIDesigner's Name Extg Sq Fti New/Added Sq Ft —Total Sq Ft F Valuation $ %0©• o0 ! New Add F_# �Alter � Demo Stories 1 Z II Check Appropriate Box for Applicant/Notification I- 3. Owner's Name Last I First Owner's Address Owner's E-mail Address City �— i j State --i Zip �— Telephoner---__ r- 4. ArchitectIDesigner's Name Last First Lic No. ! ArchitecUDesigner's Address Architect/Designer's E-mail Address City ( -_--- „ -, State F_, Zip �--- Telephoned 5. Engineer's Name Last First F—_', Lic. No. IIII Engineer's Address Engineer's E-mail Address City __. -... .....State—..,. Zip r Telephone— -_-I X6. Contractor's Name Last �i �� First Lic. No. �58//S Class C�� Contractor's Address Contractor's E-mail Address - s �/oeeS - b:1447��fZrAW4cn City /;jj5o t�yG� State r?,q Zip f�'(pT-(y Telephone fgZj�Z2£3'//9Z OFFICE USE ONLY PERMIT NO. V ZVq ` 0014V TYPE OF CONSTRUCTION PLAN CHECK NO. 601 -2-0 l I OCCUPANCY - GROUP PLAN CHECK FEE $ LI/ — U