HomeMy WebLinkAboutF2023-0158 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Associated Building Permit 4 FXEz-PTLz l Fire Sprinkler P< Fire Alarm I- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
F--`Z-�CAOI �\)),R L- C.C>C-!,> \z- \A F -i r
Tenant Name I 4 Units
2. Description of Work
Use
v-,, W V\- Use F
C) ��ov, (Z,-, LX- 0(\
Extg Scl Ft New/Added Sq Ft Total Scl FtF— Valuation s F1,-9,t
J7 New Add Alter 4 Stories
r- Demo F7-S-
11Ma MnFpf UP] IdLU 13OX Tor AppicantflMotitication
3. Owner's Name Last.
First
Owner's Address
Owner's E-mail Address
City F777777777 State
F Zip F-- Telephone_--
r-4. ArchitectrDesigners Name LastF
First F-77� Lic. No.
Architect/DeLsigner's Address
Architect/DesIgners E-mail Address
City r State
ZIP Telephonel-----
F- 5. Engineer's Name LastF—
i First
------ - - F Lic. No.F--
Engineer's Address
Engineers E-mail Address
City F State
ZIP r Telephone[
f.6. Contractor's Name LastrW Lic. No. k? Class
5 f
Contractor's Address
Contractors E-mail Address
I&V
city tt
s
V
ZP Telephone Co
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $
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