HomeMy WebLinkAboutF2022-0235 - Permit Applicationrn_ Worksheet for Fire Permit Application
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City ofNewport Beach ' Building Dopa
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Associated Building Permit # Fire Sprinkler D—Fire isc
1. Project Address (Not mailing address) Floor Suite No
100 Bayview Circle, Ne wp ort Beach, CA 92660
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2. Description of Work
TYPE OFCONSTRUCTION -___-
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Use
Removal and relocation of existing audio-visual notification appliances, installation of new
| OCCUPANCY- GROUP _____-
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PLAN CHECK FEE $
Valuation$ F1 03
# Stories
F7 New Add T Alter F-_,. Demo
Check Appropriate Box for Applicant/Notification Information
F7 3. Owner's Name Last First
Owner's Address Owner's E-mail Address
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Fx-4.4xnhiteodDesiGner'aName Last First Farintip UcNo.
FT<lContractor's Name Last Williams First Lic.No. Class
Contractor's Address Contractor's E-mail Address
CKY Ontario State [EA |ZipF17� To|ophonok}08'857'5200 |
OFFICE USE OkLYPE��|TNO
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TYPE OFCONSTRUCTION -___-
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PLAN CHECK NO.
| OCCUPANCY- GROUP _____-
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PLAN CHECK FEE $
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