HomeMy WebLinkAboutF2023-0119 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit Q Fire Sprinkler r Fire Alarm I— Fire Misc
1. Project Address (Not mailing address)
�675 Macanhur Court 9th floor
Tenant Name Holland & Knight
2. Description of Work
enant improvment, adding and relocating total of 112 heads
Extg Sq Ft I New/Added Sq Ft F Total Sq Ft 12851
GZ New I— Add (— Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
9th �—
# Units F
Use loffice
Valuation $ k000
# Stories
F- 3. Owner's Name Last i
First
Owner's Address
Owner's E-mail Address
City
State F_ Zip F__ Telephoned
r 4. Architect/Designer's Name Last
First F Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F— Zip Telephone—
r 5. Engineer's Name Last
First F_ Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City �
State F Zip F__ Telephoned
F 6. Contractor's Name Last Kimble First Fompany Lic. No. 60923 Class C16
Contractor's Address
Contractor's E-mail Address
15182 bolsa chica st suite A
bguan@kimblefire.com
City Huntington Beach
State CA Zip 2649 Telephone 2134479296
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
')CCUPANCY - GROUP
PLAN CHECK FEE $�