HomeMy WebLinkAboutF2022-0233 - Permit ApplicationWorksheet for Fire Permit Applicata
City of Newport Beach -Building Division h j^li/r. " r
Please print 3 copies
Associated Building Permit # - Fire Sprinkler ❑ Fire Alarm ❑ Fire Misc
1. Project Address (Not mailing address)
Floor Suite No
100 'Batmv P_W circle
500 I
Tenant Name i{ON2Y1CreSt
# Units �-
2. Description of Work
use - p �
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Me tttoCatlon oP 2- eKislinaj fire spnny-hex
hAt"'d ac_ i-0- .i-htw.__
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Valuation $ 1.0p
J
Walt and �tght lacartcns,
Extg Sq Ft 1 New/Added Sq Ft
Total Sq Ft LIRW.
New Add
I
# Stories
❑ ❑ 5( Alter (- Demo
Check Appropriate Box for Applicant/Notification
❑ 3. Owner's Name Last First
Owner's Address Owner's E-mail Address
City - _ State —I Zip F Telephone[--�
❑14. Architect/Designer's Name Last _i First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City �— State Zip ' Telephone
5. Engineer's Name Last First
Lic No.
Engineer's Address Engineer's E-mail Address
City _— _ State Fl Zip F_j Telephoned—,
[' 6. Contractor's Name Last JOhngto n First ,]GNAW Lic. No. (c299g3 Class
- -- - - -- — -- - C l(o
Contractor's Address Contractor's E-mail Address
_m RzNrmy 'Road, Suitt ii - —_ )Om all pro fin-tnc-com
City 0LPQ05%Cie State Cp Zip QZ058 Telephone QSI, ygy.903(0
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OFFICE USE ONLY PERMIT NO. �� 7
TYPE OF CONSTRUCTION V PLAN CHECK NO.
OCCUPANCY - GROUP PLAN CHECK FEE $ �/av
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