HomeMy WebLinkAboutF2024-0080 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing i
Tenant Name I M� � oe7v d
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
j- Fire Sprinkler j- Fire Alarm I- Fire Misc
2. Description of Work
/-dd3,vZ-W / /ZL2fo C 3
Extg Sq Ft F New/Added Sq Ft
I— New I- Add j-lAlter r Demo
Check Appropriate Box for Applicant/Notification
I- 3. Owner's Name Last
Owners Address
Total Sq Ft
First
Owner's E-mail Address
Floor Suite No
# Units 2q6
Use
Valuation $
# Stories r
City I State F— ZAP [� Telephonef�
i- 4. Architect/Designer's Name Last First F�
Lic No.
Architect/Designer's Address Architect/Designers E-mail Address
City I State F—ZiP F— Telephoned`--`
(- 5. Engineer's Name Last 7_— First �—
Lic. No. �._-
Engineer's Address Engineer's E-mail Address
---------------------------
City I State F_ZiP F� TelephoneF�
r 6. Contractor's Name Last SU ,Vd p pjt
�. C/ram!/ !T'rs �— Lic No. �� zClass�_
Contractor's Address oo Z Uj fQ N� 52''.. "I
r Contractor's E-mail Address SU •P 61^ J /h D ,
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City / yL QJ State r ZiPF?/ Telephone
W � 69da
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $