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HomeMy WebLinkAboutF2022-0560 - Permit ApplicationWorksheet for Fire Permit Applicationtt�� U-11, Print Form,_ r a0a a 051 City of Newport Beach - Building Division Please print 3 copies Associated Building Permit # _ Fire Sprinkler G Fire Alarm F-'i Fire Misc 1. Project Address (Not mailing address) Floor Suite No Atowpo�t Cenfec D//yev �f -1� cA _1 © Tenant Namecjaft 7 _F4fiA$rA r5 &Act ( # Units 2. Description of Work-�-� - C B f 14dcl AW l 'ir- MO 7MQ0 1 Use �.. ? 5 8 Valuation $ Extg Sq Ft New/Added Sq Ft Total 5q Ft �� # New ❑Add Alter ❑Demo Stories I 1 I' � Check Appropriate Box for Applicant/Notification 3.Owner's Name Last First Owner's Address Owner's E-mail Address City ( State ZIP [77777 Telephone�71 4. Architect/Designer's Name Last First Lic. No. i Architect/Designer's Address Architect/Designer's E-mail Address City State Zip Telephoned 5. Engineer's Name Last I First I JI ❑ 9 Lic. No. I I Engineer's Address Engineer's E-mail Address ' I City State Zip � Telephoned; 6. Contractor's Name Last n„ y First Lic. No. �j�tf a8" Class Contractor's Address Contractor's E-mail Address City r ( t _ State Zip 7q75-s Telephone o� t� U OFFICE USE ONLY--� �-�=1-- PERMIT NO. �2dZz-%5pO/ TYPE OF CONSTRUCTION PLAN CHECK NO. I' G20 z 2 — 2737 OCCUPANCY - GROUP PLAN CHECK FEE $ 3S50 6