HomeMy WebLinkAboutF2018-0396 - Permit ApplicationPlease print 3 copies
n.:� Parmit it
1. Project Address
Tenant Name
n n..f Wnrk
Worksheet for Fire Permit Application 1,998.20/8
City of Newport Beach - Building Division F,?018 -0346
mailing
s
® Fire Sprinkler ❑ Fire Alarm ❑ Fire Misc
Extg Sgft L� J New/Added SQ Ft Total S9 Ft
a New ❑ Add ❑ Alter ❑ Demo 1 0 k«lS
Check Appropriate Box for Appllicanvrvovncai:un
❑ 3.Owner's Name Last G, r First
Owner's Address
City State
Use
Floor Suite No
# Units
Valuation $ C 40J
# Stories
Owner's E-mail Address
Zip Telephoned —
❑ i I FirstF77777 Lic. No.
4. Architect/Designees Name Last
Architect/Designer's Address
City State
Architect/Designees E-mail Address
Zip J Telephone
❑ 5. Engineer's Name Last I I First Lic. No.�
Engineer's Address
City State
Engineer's E-mail Address
Zip Telephoned
❑6. Contractor's Name Last C.&SCit First •�
Contractor's Address
Lic. No. $ilOu Class FC -i!
Contractor's E-mail Address
is ... 1.. t 6 rr4:i I • G• w.
State C Zip !D611 Telephone 1a • j� 0
F2UCTION
<OUP
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $