HomeMy WebLinkAboutF2020-0119 - Permit ApplicationWorksheet for Fire Permit Application
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City of Newport Beach - Building Division o
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Associated Building Permit # Zo' I _ ( yC�_ K Fire Sprinkler r! Fire Alarm n Fire Misc
1. Project Address (Not mailing address)
Floor Suite No
Owner's Address
Owner's E-mail Address
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Tenant Name
City State
#Units F�
2. Description of Work
— First lJokih Lic No.
Architect/Designees Address
Architect/Designer's E-mail Address
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Extg Sq Ft --i
New/Added Sq Ft �I Total Sq Ft
Valuation $ 000
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Alter r Dema
# Stories I
27,
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F-6. Contractor's Name Last YQ VgV(1 S�YIv11�J�r First Lic No. I" 2( Class
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Contractor's Address
Check Appropriate Box for Applicant/Notification
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i -i 3. Owner's Name Last
First—,
Owner's Address
Owner's E-mail Address
City State
Zip Z Telephone
4. Arch itect/Designer's Name LastI�a
— First lJokih Lic No.
Architect/Designees Address
Architect/Designer's E-mail Address
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City - 51 CW). lG State
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F75. Engineer's Name Last
First—/
Lic. No.
Engineer's Address
Engineers E-mail Address -
City State
Zip I Telephone)
F-6. Contractor's Name Last YQ VgV(1 S�YIv11�J�r First Lic No. I" 2( Class
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Contractor's Address
Contractor's E-mail Address
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City _'� mey -__ _...._ State
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OFFICE USE ONLY
TYPE OF CONSTRUCTION
_ PERMIT NO. '2 1
U) PLAN CHECK NO. d
OCCUPANCY- GROUP -7PLAN CHECK FEE $
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