HomeMy WebLinkAboutF2023-0307 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # igj Fire Sprinkler CI Fire Alarm ❑ Fire Misc
9
1. Project Address (Not mailing address) Floor Suite No
3300 Inane r 106
Tenant Name I $Tardow and Johnston 8 # Units �-
2. Description of Work
The mloca4ion otf 8 Vim5prtrnkler heads d(,t to v\cw wall and light-,,,- -_-_-__
Use
_�-OFfiLP
localianS.
--i
Extg Sq Ft � �� New/Added Sq� Ft l Total Sq Ft 3,3(u2
z OOp,60
Valuation $__
LI.
# Stories I
New Add ( Alter [ Demo
1=
Check Appropriate Box for Applicant/Notification
❑ 3. Owner's Name
Last CarcCTck First J'Immt3
Owner's Address
Owner's E-mail Address
2015andpoino Rktnut-
City spy}h Cp06 Ivit$(0 State Zi qZ W Telephone (I 3HI-5100•
4. Architect/Designer's Name Last _ _] First �— Lic. No. —,
Architect/Designer's Address
Architect/Designer's E-mail Address
City _ _
--. State �, Zip Telephoned I
F— 5. Engineer's Name
Last First— Lic. No. 177
Engineer's Address
Engineer's E-mail Address
1
City
I
State Zip L J Telephone7—
IX6.Contractor'sName Last
j&hTs In J First JOhn __ Lic. No. (o29g93 Class C. _I
Contractor's Address
Contractor's E-mail Address
►(q mar Road, suit- f1 joY1n@allprofircinc•ccrn
City oceonside-
State Gii Zip CtU5b Telephone [g51)ZG9-3g12�
OFFICE USE ONLY
�`3 D PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
^ O1 PLAN CHECK FEE $
I