HomeMy WebLinkAboutF2024-0027 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
F_ Fire Sprinkler F_ Fire Alarm I— Fire Misc
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Tenant Name �//Y
2. Description of Work
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Extg Sq Ft New/Added Sq Ft Zf 0 Total Sq Ft �j
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F_ New r Add (— Alter Demo Am /
Check Appropriate Box for Applicant/Notification
F:�Floorr Suite No
# Units F
Use
Valuation $
# Stories
i— 3. Owner's Name Last
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First
Owner's Address
Owner's E-mail Address
City V
State ��
Zip ���� Telephone sj6 `_ 6
F_ 4. Arch itect/Designer's Name
Last
First Lic. No. F
Architect/Designer's Address
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Amhitect/Designer's E-mail Address
City �—
State F
Zip F Telephoned
F_ 5. Engineer's Name Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F—
Zip F_ Telephone
r 6. Contractor's Name Last
First 7 Lic No. ;7 FU 3Zclass (:f
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Contractor's Address
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Contractor's E-mail Address
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City Sa�� ���� ���
State I c
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Zip Telephone
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OFFICE USE ONLY
►Dow PERMIT NO.
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TYPE OF CONSTRUCTION
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PLAN CHECK Nnyrw�•w Y
OCCUPANCY - GROUP
PLAN CHECK FEE $