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HomeMy WebLinkAboutF2020-0036 - Permit ApplicationWorksheet for Fire Permit Application aq City of Newport Beach - Building DivisionPlease print 3 copies /ZpZ� l �✓ W Associated Building Permit# �- I [�7l Fire Sprinkler [-; Fire Alarm r; Fire Misc 1. Project Address (Not mailing address) Floor Suite No V V �� - [p h„J t _- %rretc Tenant Name f F---- _ - - # Units 2. Description of Work t Use rl-t 5 1 i-1 YC 1� ��o �[. ! �� Valuation $ Extg Sq Ft �� New/Added Sq Ft Total Sq Ft ©C9 New r Add r Alter (7 Demo tories Check Appropriate Box for Applicant/Notification ri 3. Owner's Name Last _-- First— �— - -.---- - -- Owner's Address -- - Owner's E-mail Address City State Zip Telephone 4. Architect/Designer's Name Last First (— Lic. No. Architect/Designer's Address (Architect/Designers E-mail Address City State Zip( Telephone[ r' 5. Engineer's Name Last r— First — Lic. No. F-.__.__' Engineer's Address Engineer's E-mail Address City --- '. State -- Zip F Telephoned r6. Contractor's Name Last l y�NJ e�q First Swprv! Lic. No. (py(�J30 Class J �u l Contractor's Address Contractor's E-mail Address City 5I ✓I cl-e{'l erne re l_ State (F}._ Zip ra E�7 Telephone lq )t-i�lS""` 6 / OFFICE USE ONLY �e- �Gr" 0,� PERMIT NO. " TYPE OF CONSTRUCTION OCCUPANCY - GROUP °y/ggf s� PLAN CHECK NO. " /� 1 .r `C7 l/s PLAN CHECK FEE $