HomeMy WebLinkAboutF2023-0045 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit# Fire Sprinkler r.Fire Alarm r;Fire Misc
1. Project Address (Not mailing address) Floor Suite No
Tenant Name 6eUN' (S- # Units
2. Description of Work L
Use
000 Extg Sq 37Z Ft �- New/Added Sq Ft - :�i Total Sq Valuation $ 6
Ft - -j%7� ;_ �7---
F; New F_ Add [ Alter r Demo 1 # Stories L /
.-.FF,Up, atc ovA wr MF71luGan U rvoLl ncation
3. Owner's Name Last First
Owner's Address
Owner's E-mail Address
City C'CS(BNY'� DfL State (/111.1q-Z - �iq-'
Zip y'�s Telephone
F_ 4. ArchitecUDesigner's Name Last
First F Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City State �—
Zip �— Telephoned--
f_ 5. Engineer's Name Last
First
Engineer's Address
Engineer's E-mail Address
City State �—
Zip F_ Telephone[—
[ 6. Contractor's Name Last First s � . Lic. No. y39 Q[ p Class c - (�
Contractor's Address
Contractor's E-mail Address
rCcMtrr rcZwa e�
City r&L— C RE N` State FC W
Zip Telephone ej�
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION '� h�l
��,W�t�Z�
PLAN CHECK NO. bw r� ' Qn
OCCUPANCY - GROUP v (�{J l
V PLAN CHECK FEE $