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HomeMy WebLinkAboutF2022-0518 - Permit ApplicationWorksheet for Fire Permit Application City of Newport Beach - Building Division Please print 3 copies �qFORS" Associated Building Permit # iX Fire Sprinkler r Fire Alarm rl Fire Misc 1. Project Address (Not mailing address) Floor Suite No 4400 Mac'RrMn�r �o��evard 177 Tenant Name Tena tmprovemenk #Units 2. Description of Work Use �-mice --- The. scope, of- tuoeK 4\C1u&5 We- relocahon of (13) exMq-9 {-isc _spr'n�itC heads dut +o new wau and ►,grr locations. Valuation $ Z,000.00 j Extg Sq Ft New/Added Sq Ft Total Sq Ft # Stories 9 (—j New F7. Add fT, Alter F7 Demo Check Appropriate Box for Applicant/Notification 1 rfnrmo�inrt F 3. Owner's Name Last I Lazehb First SNnranda Owner's Address Owner's E-mail Address ►S2o� vorn Karma+n �vcn�e i city Irvine y State Zi G(201z Telephone (.14331 1491 CA p F7 4. Architect/Designer's Name Last First Lic. No -- - Architect/Designer's Address Architect/Designer's E-mail Address City State Zip ��, TelephoneF__ r 5. Engineer's Name Last First Lic. No. Engineer's Address Engineer's E-mail Address City State �— Zip Telephoner ix 6. Contractor's Name Last 36i1mft�N ! First Lic. No. Class C I(D Contractor's Address Contractor's E-mail Address 110t got)Mckf mad, 501 }1 john ©allpro'hte�nc• rom City I 0C2.ar15,Nde State CIA Zip Telephone 51)2G4- 6912. OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK OCCUPANCY - GROUP PLAN CHECK FEE $