HomeMy WebLinkAboutF2021-0321 - Permit ApplicationQorksheet for Fire Permit Application°":
City of Newport Beach - Building Division
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Associated Building Permit # � O� 2_7� 6Z Fire Sprinkler r Fire Alarm j— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
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Tenant Name ,(�E .S/�j/O /�ESs4E.vcE # Units /At7•
2. Description of Work
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Valuation$ �ppo
Extg Sq Ft F New/Added Sq Ft F® Total Sq Ft
# Stories F
(— New r Add R Alter F_Demo
Check Appropriate Box for Applicant/Notification
r— 3.Owner's Name Last First
Owner's Address Owner's E-mail Address
City State F_Zip Telephone—
r 4. ArchitectIDesigner's Name Last i First F Lic. No. F
Architect/Designers Address Architect/Designer's E-mail Address
City State F_— Zip F® -Telephone[
r 5. Engineer's Name Last First F_ Lic No.
Engineer's Address Engineer's E-mail Address
City State F— Zip TelephoneF_
iZ 6. Contractor's Name Last 1APEX FIRE SYSTEMS First F Lic. No. 732396
Class F16
Contractor's Address Contractor's E-mail Address
961 WEST MACARTHUR BLVD mart@apexfiresys.com
City SANTA ANA State FA Zip F2704 Telephone 49-337-9679
OFFICE USE ONLY PERMIT NO. Fzo v (
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TYPE OF CONSTRUCTION PLAN CHECK NO. I7I b
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OCCUPANCY -GROUP �Z��t _ D q0e PLAN CHECK FEE $