HomeMy WebLinkAboutF2023-0305 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # I Fire Sprinkler [' Fire Alarm
Ej Fire Misc
1. Project Address (Not mailing address)
ttoG Mar -%RUC Bo�tedatd
Tenant Name fide%ot National 1 `�
2. Description of Work
Tnt selombon of 40 extsling fire SphnKttt yieods dre +o_ntw(,vall_9trxd.__.. j._-.._..._L
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Extg Sq Ft New/Added Sq Ft Total Sq Ft It, to2t0
[ New [Add iK, Alter [Demo
unecK Appropriate tiox torApplicant/Notification
Floor Suite No
# Units �-
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Valuation $ I v
# Stories L JI
[ 3. Owner's Name Last pet Cattnen VolatU2 First 9annelh
Owner's Address
Owner's E-mail Address
2040 Mam S'rtee� , S._u..-�tG 5.--10
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TelephoneState Zipg_-
[ 4. Architect/Designer's Name Last
- —i First �— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
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State � Zip L Telephone-
6. Engineer's Name Last
_ First Lic. No.
Engineer's Address
Engineer's E-mail Address
i
City —
State — Zip �, Telephone�—
i�(6.ContractorsName Last �phpS}pp First John Lic. No. CnLQgg3 Class C I(n
Contractor's Address
Contractor's E-mail Address
Ilq Royynar Koad, Suitt +t
jdhn(&allpvo4tteinc.com
City OCeot151dt -
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State— Zip 9ZC58 Telephone (q5l)� _
OFFICE USE ONLY
-0 7-3 1 PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $
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