HomeMy WebLinkAboutF2024-0001 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
F- Fire Sprinkler F- Fire Alarm r Fire Misc
Tenant Name I ILA-, L S (J
2. Description of Work 1
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Extg Sq Ft [— New/Added Sq Ft F
j— New r Add r Alter r Demo
Floor Suite No
# Units F
Use
" 9 l Ecc
Valuation $ �4
Total Sq Ft �-
# Stories
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F— 3. Owner's Name
Last First F
Owner's Address
) Owner's E-mail Address L
City 0 /LZv��Q
I�to '� Zip Cn TelephoneF—
F- 4. Architect/Designer's Name Last First F— Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City F�
State F_ Zip �— Telephone��
r 5. Engineer's Name
Last First F_ Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F_ Telephone�—
I- 6. Contractor's Name Last
I GUVI CQ Z First �XZ� Lic No. Class G ((o
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Contractor's Address
Contractor's E-mail Address
City
State�Zip c( Telephone ----
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OFFICE USE ONLY
PERMIT NO. '4 WA
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
/1 %� %/� PLAN CHECK NO. 761 �`�
A l�
/ PLAN CHECK FEE $
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