HomeMy WebLinkAboutF2024-0075 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # Fire Sprinkler r Fire Alarm f- Fire Misc
1. Project Address (Not mailing
Tenant Name AINGr%G0y\
2. Description of Work (�
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Extg Sq Ft F_ New/Added Sq Ft F— Total Sq Ft
F_ New r Add Alter F_ Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F—
Use
Valuation $Fq
,
# Stories F
r 3. Owner's Name Last IfVw i (,,.p
First
Owner's Address
Owner's E-mail Address
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City lrv`�l
State �G�.
ZipF Telephone
4. Arch itect/Designer's Name Last
First F_ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City I'
State F_
Zip F_ Telephone—
r 5. Engineer's Name Last
First F_ Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F_ Telephoned-
F- 6. Contractor's Name Last CwTurz, First '� Lic No. 58 _ws' Class G- 16
v 1
Contractor's Address
Contractor's E-mail Address
N771� Efa-?,t, S i .
0(d;er_rn Er Ewa_@ *,1. cam...
City M I'a( ��•L
r
State C4
Zip �ugr Telephone -7"Y) apt -O)14V
OFFICE USE ONLY
PERMIT NO.
TYPE CONSTRUCTION
OF
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $