HomeMy WebLinkAboutF2019-0004 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit#
1. Project Address (Not mailing
X20 UlA lTl
Tenant Name
2. Description of Work
13D Fire Sprinkler System
'F 2,001 - 0 0 D y
Worksheet for Fire Permit Application
City of Newport Beach - Building Division F
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CSG/FOPNP
Fire Sprinkler [_ Fire Alarm Fire Misc
wSfo+�?b'R�T V -6 %A y CA-.
Extg Sq Ft F77�77 New/Added Sq Ft �Total Sq Ft
r, New j—: Add r—, Alter ri Demo
Check Appropriate Box for Applicant/Notification
[, 3. Owner's Name Last First!
Owner's Address Owner's E-mail Address
Floor S to No
P
I_...._.
Valuation $ F
# Stories y I—
City ..._....._..__ .__ State ' Zip Telephone��
r 4. Arch itect/Designer's Name Last Velasco First Gabe Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
8085 E. Crystal Dr. Q. gus-eA,vl
- r
y State CA Zip 92807 Telephone (714)666-8450
Cit Anaheim
[_ 5. Engineer's Name Last
Lic. No.
City r �— Zip 92807 Telephone (714)666-8450
Cit Anaheim i State CA �, __.
OFFICE USE ONLY – P2 o , l , C/ \ PERMIT NO.
TYPE OF CONSTRUCTIONL.� 2� 2,0 PLAN CHECK NO,
V151G L E�
OCCUPANCY - GROUP C ✓ X111 PLAN CHECK FEE $