Loading...
HomeMy WebLinkAboutF2021-0054 - Permit ApplicationPleaseWorksheet for Print 3 copies Cit Fire Permit q Associated Y of Newport Beach - Buildin Plication ff Building Permit # 9 Division 07 sm1. Pro OoJectAddress Fire S(Not prinklermailin r Fire Alarmg address -L r F. ire Tenant Name L/ Floor - `" -- Suite No 2. Description EyLY/! 1 1 of Work - -i #Units Cp G r- Snti f_ EMg Sq Ft �—�'_! _ 5.0 Use � 1 _! New/Added Sq Ft r_i New F7777 Total Sq Ft r Add Valuation $ Alter Check AP r_1 Demo ppropriate Box for q - pplicant/Notification # Stories r 3. Owner's N r _ ' ame Last Owner's Address First - - City ----.__ Owner s E-mail Address State---- ,4. Architect/Desi _ 9ner's _. _.._ A Zip Architect/D Name Last� ---_ Telephone - esigner's Address - t First Architect/Desi Lic, No City -- gnses E-mail Address ffff 1 State J 5. Engineer's Name Zip Tele _ Last _. _._J phone s Engineer' %', ' f Address SUrvl -`-- First .. _ hA )� Engineer's E-mail Lic. No. City Address — State L� Z rs• Contractor's N p - LOJI Name Last _Z-gG� t Telephone l Contractor's «-LLL Address ...- Firstr—� q ��-G�l_l _Lic. No Contractor's E_ �a �; class �6 City II /._ mail Address -r`✓� `r 11 state lC_jGF Zi OFF/C€ US€ ONLY �CLCLI_ o�y14/ Zip �11�°�G Telephone TYPE OF CONSTRUCTIONr_z - .U_7 % S,c( OCCUPANCY - GROUP PERMIT NO • PLAN CHECK NO. OV PLAN CHECK FEE $ - `