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HomeMy WebLinkAboutF2022-0137 - Permit ApplicationPrint Form Please print 3 copies Associated Building Permit # Worksheet for Fire Permit Application � City of Newport Beach - Building Divisi7j \Gt'� Fire Sprinkler F_ Fire Alarm r Fire Misc 1. Project Address (Not mailing address) d 2-QZjl — D b Floor Suite No Tenant Name =m V ! 1-- # Units �- 2. Description of Work Use -` 4?UDfp-� -2 c( /I cf-- rl ire S�i i/1 ��t? /� . in a-f-IiUnt irn��ven City I PA rl v State FF Zip)- Extg Sq Ft ��,, New/Added Sq Ft —. Total Sq Ft � Valuation $ r7��— I '� _ t _ , S�f 1 � e # Stories 1 r New Add (— Alter Demo 5. Engineer's Name Last n�� I V Irl First y `(u Lic No. Z 4 Check Appropriate Box for Applicant/Notification InF�rro n4i�n 3. Owner's Name Last�O{ }IRU I �"`J\ Firstl--- Owner's Address Owner's E-mail Address l 10 1 WNZe� City I PA rl v State FF Zip)- Telephoner" -2qz tom' v;, F_ 4. Arch itect/Designer's Name Last First () UW, Lic. No.4 34I� Architect/Designer's Address Architect/Designer's E-mail Address 1 � e e by Wm(,L Fonncul avq City I ora nvf. State FF Zip C1Telephone T[ 4 zY,3 C-2- 5. Engineer's Name Last n�� I V Irl First y `(u Lic No. Z 4 Engineer's Address Engineer's E-mail Address Qrr')nmcg1 c I city ��tQ / State �r {- Zip I �2 Telephoned ( r F_ 6. Contractor's Name Last/ �1r ( j First Lic No. �� Class Contractor's Address " Contractor's E-mail Address City State 7i Zip�(� Telephone I �( OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. ©6 ' 2,67� OCCUPANCY- GROUP PLAN CHECK FEE $