HomeMy WebLinkAboutF2022-0277 - Permit ApplicationPlease print 3 copies
Associated Building Permit#
1. Project Address (Not
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Worksheet for Fire Permit Application
City of Newport Beach - Building Division
I Fire Sprinkler Fj Fire Alarm Fire Misc
Tenant Name 3 8
2. Description of Work
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Extg Sq Ft New/Added Sq Ft 2 o e Total Sq Ft LI
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[,-1' New I_ Add [i Alter Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units I y
Valuation $ �J PLi
# Stories l
3. Owner's Name Last
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First�—
Owner's Address
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Owner's E-mail Address
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j-4. Architect/Designer's Name Last lsv(11 L First
ArchitecVDesigner's Address
Architect/Designees E-mail Address
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Zip �l OF, 7 1 Telephone S�Z - 7 L `7712r1_
5. Engineer's Name Last
First �—
Engineer's Address
Lic. No.
Engineer's E-mail Address
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6. Contractor's Name Last &15_n P,2e-,/ First -
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Contractor's Address
Contractor's E-mail Address
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OFFICE USE ONLY PERMIT NO. i-zcl?-` - O Z77
TYPE OF CONSTRUCTION PLAN CHECK NO. i q1
OCCUPANCY -GROUP C2 f 0 �
PLAN CHECK FEE $