HomeMy WebLinkAboutF2023-0568 - Permit ApplicationPrint Form
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Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Associated Building Permit #
1. Project Address (Not mailing
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Tenant Name `'a, rn l { lnG� I� n c
2. Description of Work
kFire Sprinkler r Fire Alarm
Extg Sq Ft F --- New/Added Sq Ft F --- Total Sq Ft
xNew F Add F Alter r Demo
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F 3. Owner's Name Last WY CA r • 1 I 1 Yl fly
Owner's Address J
City I� I I r?Q��!`�l State `
F 4. Architect/Designer's Name Last
Architect/Designer's Address
City
r Fire Misc
S I Use
First K
R
Floor Suite No
# Units F
Valuation$ 91 0 ILI. be
# Stories e
Owner's E-mail Address
Zip �— Telephone /�� 'lq f5
First
Lic. No.
Architect/Designers E-mail Address
State F Zip I_— Telephone--
r 5. Engineer's Name Last / ., Fir
st Lic. No.
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Engineer's Address Engineers E-mail Address
'ity State F Zip F_ Telephoned--
1. Contractor's Name Last nn First 1/� Lic. No. ,(�I �� IClassr F
litractor's Address ci 1 i� "ll �i ` � ` t 1
Contractor's E- it Address
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State F Zip CJ2 V!J3> Telephone /'I C1 ., I I C.' "�
OFf` USE ONLY
TYP�)F CONSTRUCTION
OCCUANCY - GROUP
I,,, -PERMIT NO,
PLAN CHECK NO. 7(
PLAN CHECK FEE $ (J 1