HomeMy WebLinkAboutF2023-0138 - Permit ApplicationPrint Form
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
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Please print 3 copies
Associated Building Permit # I N/K
F- Fire Sprinkler F-Vire Alarm I- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2 022I $.vJ CyPRE55 Sr" EI Alfw,poci 5CAC,o, C.A.- °12(D60 i �—
Tenant Name j,(F.Npo,L n4o M T-E 550 RI # Units �-
2. Description of Work
"j..,,trrtatt 7j£'�•I r�E Alh¢. Sirs �r
Use f-A-iao.A-e
Lig f.% F.J, C f_s� /y6 w FM1Ct�� aNNvr.1C.t�CTe K, L7• ,AIE IZ
Extg Sq Ft F_New/Added Sq Ft � Total Sq Ft (a 'j `/3
Valuation $ 29, 035 `
r�ew Add Alter
# Stories I '
r � � Demo
Check Appropriate Box for Applicant/Notification
I nfn rm.+i nn
F 3. Owner's Name Last Mt )� o N�
First FM P4, 1_1
Owner's Address
Owner's E-mail Address
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Ll 4' A,S r_0 rli EL 1� hrt
City ��.tag �z<,Qr3,S7gTE,f State G �, .
Zip qo 2-1 y Telephone
r 4. Arch itec esir's Na gneLast A Y4 First FK —It-Lic. No. 517(t`L 1
Architect/Designer's Address
Architect/Designer's E-mail Address
to `A"LAm> ,£p—T Pato
1�Ti�AN�CoScoF,rc�• CoM
City 13kx_o, State CA,.
Zip jtg LI Telephone i4 JAR I8eo
F 5. Engineer's Name Last
First— Lic. No.
Engineer's Address
Engineer's E-mail Address
City State F—
Zip F_ Telephoned
F 6. Contractor's Name Last Coyw7t eTs �� aK First F Lic No. 7"1(021 Class C-
Contractor's Address
Contractor's E-mail Address
107 75 ��k'^4I QT Q�/ifl
FMon1E�(,oSCoFiRE • CoM
City -3K1^ State I Vx
Zip 424j2i Telephone i,q-'?A1•%,55
OFFICE USE ONLY
PERMIT NO.
ryw2���057
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $
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