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HomeMy WebLinkAboutF2023-0650 - Permit ApplicationWorksheet for Fire Permit Application City of Newport Beach - Building Division Please print 3 copies Associated Building Permit# Fire Sprinkler ri Fire Alarm F7 Fire Misc 1. Project Address (Not mailing address) Floor Suite No 1340 boN Tenant NameQi`p�T SQi� # Units 2. Description of Work Lou Ert=Qc'n DO-C Q D%20? eopf e _ CCAJ!4LA-C-a9 i use tCIL__ `rk5 Valuation $ 2� p00 aj E#g Sq Ft F-, New/Added Sq Ft F7777 Total Sq Ft � - - - (- New r' Add � Alter ��Demc # Stories __._ Check Appropriate Box for Applicant/Notification 3. Owner's Name Last First Owner's Address Owner's E-mail Address City _ State Zip F_ Telephoned— 4. Architect/Designer's Name Last First �— Lic. No. Architect/Designees Address Architect/Designer's E-mail Address City � __- .. State � Zip I-- Telephoned--- r 5. Engineer's Name Last First Lic No. Engineer's Address Engineer's E-mail Address CiTy _._ State F-- Zip F_ Telephone— _.. ..-. -_... F_ 6. Contractor's Name Last rNrekj3:;2Ro First ©.x A-ffL. Lic. No. C{T9954 lass L -) b Contractors Address Contractor's E-mail Address city p,rJT/!�!J✓'� State _..Cf" Zip -y'Z33} Telephone F9p-q- qqZ-zz-Zq OFFICE USE ONLY PERMIT NO. f i#$%7 'D(o50 TYPE OF CONSTRUCTION PLAN CHECK NO. 'G'1-2471 3Z1v4 OCCUPANCY - GROUP I �n� �vn/ PLAN CHECK FEE $