HomeMy WebLinkAboutF2022-0606 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit# Fi Fire Sprinkler rlFire Alarm FireMisc
1. Proiect Address (Not mailino address)
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Tenant Name
2. Description of Work
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check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
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# Stories —
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Owner's Address
Owners E-mail Address
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F_ 4. Architect/Designer's Name Last First Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
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o. Engineer's Name Last ((_(f�
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Engineer's Address
Engineer's E-mail Address C' (L Ic—
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. Contractor's Name Last First Lic. No.
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Contractor's Address
Contractor's E-mail Address
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OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $