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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 hgftt locatian5. 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 �- -ia-(l�i�tB�_._— —� 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 hne 4.. �JjCity TelephoneState Zipg_- [ 4. Architect/Designer's Name Last - —i First �— Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City I� - 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 - - 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 $ kf ciZ�L,S �LZesz-3 - o v ? 7