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HomeMy WebLinkAboutF2019-0318 - Permit ApplicationWorksheet for Fire Permit Application City of Newport Beach - Building Division Please print 3 copies Associated Building Permit I45�_ ogLl �Z_ ( Fire Sprinkler [�'i Fire Alarm F Fire Misc aEWP(>� � e� 9<IFORRpP 1. Project Address (Not mailing address) Floor Suite No q3_7 SCACq Z, F Tenant Name L4-(57";7 # Units F/ _. _ 2. Description of Work Owner's E-mail Address UseL��tty: // sP2'c�E2 Syn cr©N�� EMg Sq Ft-- New/Added Sq Ft Total Sq Ft Valuation $ Z� 3 Architect/Designer's Address # Stories Z F7 New f— Add r Alter F_ Demo !ZZZ2- 7^.�G�i' i��E /�UCI IC-i3Z Check Appropriate Box for Applicant/Notification /W3. Owner's Name Last �—[ us ��(,- i First F'', Owner's Owner's E-mail Address ^Address )< City �/�,I,c/ P©��/. '., State FZ 1 Zip � ..z� Telephone V.4. Architect/Designer's Name Last chr�( First �y l- Lic. No. �goq Architect/Designer's Address Architect/Designer's E-mail Address !ZZZ2- 7^.�G�i' i��E /�UCI IC-i3Z City C S S , State F <�W—,.. Zip F- Qcfo TelephoneF (-', 5. Engineer's Name LastXT4_ry.. First A_ Lic7No. �jJY23 Engineer's Address Engineer's E-mail Address r2Z27- AV6. 132- _ - Cad, 'rarJ�o�i-✓�'o cit'''y { S rp` State �c Zip 92,cFp 1 Telephone &.rq�c�/ .�e,9 ��raaa. Contractor's Name Last�s"F , l�nr _... First �/�Q/Z,N/ _ Lic. No. ��23 Class Com% Contractor's Address Contractor's E-mail Address City zip State�,. f Z'O... Telephone OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY - GROUP PLAN CHECK FEE $ )�S7 --�aU(0,-� V )>