HomeMy WebLinkAboutF2022-0040 - Permit Application (3)Worksheet for Fire Permit Application
City of Newport Beach - Building Division
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Associated Building Permit# F'j Fire Sprinkler Fire Alarm _j, Fire Misc
1. Project Address (Not mailing address) Floor Suite No
Tenant Name # Units
2. Description of Work
Use
PP-_ 14AM t>o-hi,
Extg Sq Ft New/Added Sq Ft Total Sq Ft
Valuation $
# Stories
New Add Alter ❑ Demo
F� F-
Check Appropriate Box for Applicant/Notification
rj 3. Owner's Name Last I rst
Owner's Address Owner's E-mail Address
1--a L
City State Zip Telephone
4. Architect/Designer's Name Last First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State Z Telephone
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5. Engineer's Name LastFirst i F J Lic. No.
Engineer's Address Engineer's E-mail Address
4
City
State A
Zip Telephone
CI
6. Contractor's Name Last Lic. No. ass
Contractor's Address Contractor's E-mail Address
136
City State Zip Telephone
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OFFICE USE ONLY PERMIT NO. 9 1
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP PLAN CHECK FEE $