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HomeMy WebLinkAboutF2019-0499 - Permit ApplicationU1,or sheet for Fire Permit Application City of Newport Beach -Building Division Please print 3 copies 11 � Associated Building Permit# xZ©i� _(6i�Z (" Fire SprinklerireAlarm �Fire Misc 1. Project Address (Not mailing address) FloorSuite No two E. cok;,- F_.__-_ �v # Units Tenant Name ''='I -tzqr IF6;Fu 5L4 G 6A.tj tom, 2. Description of Work FI iz� W T.T. 3 2 State F_ Zip r Telephonel� use (......-- IsR Valuation $ 3 I yht00 Extg Sq Ft II New/Added Sq Ft .Total Sq Ft 2 r32. 2 ' /3 ?� F 2 \jam State I Zip [ Telephoned # Stories New j— Add (v Alter Demo I v _ �y Check Appropriate Box for Applicant/Notification Irf.... _4' " F_ 3. Owner's Name Last 4WFFirst — Owner's Address Owner's E-mail Address City I State F_ Zip r Telephonel� F_ 4. Architect/Designees Name Last First I -� Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State I Zip [ Telephoned I_ 5. Engineer's Name Last First Lic. No. r Engineer's Address Engineer's E-mail Address City State I Zip F— Telephone F_ 6. Contractor's Name LastaS'-1 P0 First I Lic. No. I &S -'Leo Class r–^1 a Contractor's Address Contractor's E-mail Address <o146 1p_'CaN '- City 1 cprOCop vprw State I _r Zip 61i303 Telephone $Ig,gag,M $ OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. 1 2E2 OCCUPANCY - GROUP PLAN CHECK FEE $