HomeMy WebLinkAboutF2021-0215 - Permit ApplicationPrat worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # R Fire Sprinkler r Fire Alarm r Fire Misc
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1. Project Address (Not mailing address) Floor Suite No
3v,fa ��sf G6cts_Hoy F7__ F_
Tenant Name LV # Units
IIII
2. Description of Work
City I-
State F_- zip TelePhoneF—
Use
�r�,c� u✓ tM-GTi Vl cu- �Pcrv�.C: 1r vtGSrAAL
Extg Sq Ft New/Added Sq Ft F Total Sq Ft � 2_ Q D
Valuation$
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r New r Add OZ Alter Demo !\
# Stories
Check Appropriate Box for ApplicanMotification
r 3. Owner's Name
Last i First i
Owner's Address
Owner's E-mail Address 4 C;
City I-
State F_- zip TelePhoneF—
i- 4. Architect/Designers
Name Last First F— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City �—
State �— Zip I Telephone—
r 5. Engineer's Name
Last First r-Lic. No.
Engineers Address
Engineer's E-mail Address
City
State r— Zip 1 Telephone[—
R 6. Contractor's Name
Last 1APEX FIRE SYSTEMS First— Lic. No. 732396 Class -16
Contractor's Address
' Contractor's E-mail Address
961 WEST MACARTHUR
BLVD arc@apexfiresys.com
City ISANTA ANA
State f A Zip 2704 Telephone 49-337-9679
OFFICE USE ONLY
PERMIT NO. G 2Q 021*
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
�,t , pn b� PLAN CHECK FEE $