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HomeMy WebLinkAboutF2023-0306 - Permit ApplicationWorksheet for Fire Permit Application o4�E"°°�m City of Newport Beach - Building Division Please print 3 copies c��'o,,,.� Associated Building Permit # j Fire Sprinkler F' Fire Alarm F—i Fire Misc 1. Project Address (Not mailing address) Floor Suite No _9400 Mac'RrtYtur 13ovle> va�d _._ Tenant Name fjdaG NaN0nQ1 V #Units 2. Description of Work The rttoatiion of C211 evistirrcJ fire. 6ptinyitir hcads d1A W) her,i._L%Jap.,--.-.--.. =Use _mod RCc and tight locations. Valuation $ 2,3oo_ool EMg Sq Ft New/Added Sq Ft , Total Sq Ft �,gt9(o _! �— # 1 9 [I New [Add rj Alter F Demo Stories I ' Check Appropriate Box for Applicant/Notification [3.Owner's Name Last pet Cacmen Vi11o1uz First Jarlhept Owner's Address _._ Owner's E-mail Address 7.010 Mdtn Street, sui}c 5�0 city State G�j_ Zip gZ(cl4 Telephone (ggq�331 13oO 4. Architect/Designer's Name Last — _ J First— Lic. No.�-. Architect/Designer's Address ArchitecVDesigner's E-mail Address City State I Zip [7777 Telephone- 5. Engineer's Name Last First— Lic. No.I Engineer's Address Engineer's E-mail Address City _ _ _ State F—' Zip F—� TelephoneF— ['6. Contractor's Name Last First John Lic. No. (v29993 Class Contractor's Address Contractor's E-mail Address 1 Iq 9_%1Ylar ?ROcu Sulc }1 John@aqrofirtihC-corn City occansidt. - - State CFt Zip C(X� Telephone (9602G f-!AIZ OFFICE USE ONLY �G/iCJ%3 — O 6 Z S PERMIT NO. EZ--AfU — C)3 C7 TYPE OF CONSTRUCTION JCG ZtRZ 3 L)DO 3 PLAN CHECK NO. PG4C('3 ' 1 OCCUPANCY - GROUP 2'WZ-3 — U 73 Z PLAN CHECK FEE $