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HomeMy WebLinkAboutF2022-0430 - Permit ApplicationWorksheet for Fire Permit Application �o City of Newport Beach - Building Division Please print 3 copies n Associated Building Permit # 9974-2022 rx- Fire Sprinkler F_ Fire Alarm j`, Fire Misc U 1. Project Address (Not mailing address) Floor Suite No 2865 East Coast Hwy First 100 Tenant Name Newport Urgent Care # Units F 2. Description of Work -- Relocate 2 sprinkler heads and add 3 new heads for a Medical Office remodeling. Use Medical Office Valuation 1,250.00 Extg Sq Ft ,,112 _... New/Added Sq Ft F Total Sq Ft ,112 ! r New Add D< # Stories !` Alter �"`, Demo III Check Appropriate Box for Applicant/Notification r 3. Owner's Name Last First Owner's Address Owner's E-mail Address City State F Zip,.. Telephone ._. F_ 4. Arch itect/Designer's Name Last F— First F Lic No. F Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip _ Telephone 177 5. Engineer's Name Last F First F Lic. No. Engineer's Address Engineer's E-mail Address City State F— Zip Telephoned jX 6. Contractor's Name Last FAA Fire Protection FirstF--, Lic. No. 807294 Class C16 Contractor's Address Contractor's E-mail Address 142E Bonita Ave #54 _ aaafireco@gmail.com City ISan Dimas State CA Zip r1773 Telephone(310) 5694122 OFFICE USE ONLY PERMIT NO. FC�f1Z-rL--©rI TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP PLAN CHECK FEE $