HomeMy WebLinkAboutF2021-0275 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division S
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Associate mg Permit 6Z Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
First
Tenant Name PL Tielra^j i5W14rs ���' # Units
2. Description of Work
F
Use d/G�
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r 4. Architect/Designer's Name Last
Valuation $
Extg Sq Ft �— New/Added Sq Ft F— Total Sq Ft �—
ArchitectlDes!gner's E-mail Address
City F
# Stories
It
r New [" Add OZ Alter r Demo
First F Lic. No.
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Check Appropriate Box for Applicant/Notification
W
r 3.Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City I I
State F Zip F Telephone—
r 4. Architect/Designer's Name Last
First I— Lic. No.
AmhitectlDesigners Address
ArchitectlDes!gner's E-mail Address
City F
State F Zip F_ Telephone—,
r 5. Engineer's Name Last
First F Lic. No.
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Engineers Address
Engineer's E-mail Address
I
city
State I— Zip F— Telephone
iR ti. Contractor s Name Last 1APEX FIRE SYSTEMS First F_— Lic. No. 73 96 ass -16
Contractors Address
Contractors E-mail Address
961 WEST MACARTHUR BLVD
arc@apexfiresys.com
City SANTA ANA
State CA — Zip 2704 Telephone 49-337-9679
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OFFICE USE ONLY //�� PERMIT NO.
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TYPE OF CONSTRUCTION
A lJ PLAN CHECK NO.
OCCUPANCY - GROUP
��Zf PLAN CHECK FEE $
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