HomeMy WebLinkAboutF2023-0414 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application uFli
City of Newport Beach - Building Division
F_ Fire Sprinkler I— Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
2-012 POrl Cbeds-eA P 0,CE
Tenant Name
2. Description of Work
AJ NFPl7 )3D SyS-)eln
Extg Sq Ft F— New/Added Sq Ft F—
FV New F_ Add r— Alter r Demo
�.r rCcn mpprupnaie t5ox Tor Applicant/NOtitication
Floor Suite No
# Units �-
2. G #eact c, Use I r2--.5
Valuation $ 3
Total Sq Ft F— >
#Stories FL
r— 3. Owner's Name Last
j.�J1e�� �� First 5 i-e_t
Owners Address
Owner's E-mail Address
City I
State F_ Zip �— TelephoneF
F_ 4. Architect/Designer's Name
Last 4 First Lic No. F--
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State i Zip I Telephone—
(— 5. Engineer's Name Last
First F— Lic. No. �—
Engineers Address
Engineer's E-mail Address
City
State 1 Zip F— Telephone—
r— 6. Contractor's Name Last �� JE y First 5 �q�J Lic. No. 1 y6130 Class ) (�
Contractor's Address
Contractor's E-mail Address
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city 5W�j GIeIY1 a,7 le-
State Zip(� Z P e qq ge13-41& i
!{Z / Tele hone O
OFFICE USE ONLY
PERMIT NO.�u �t
TYPE OF CONSTRUCTION
PLAN CHECK NO�6 Uk
OCCUPANCY - GROUP
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/ 11 PLAN CHECK FEE $