HomeMy WebLinkAboutF2020-0434 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # i rL� Fire Sprinkler F-1 Fire Alarm r Fire Misc
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1. Project Address ((Not mailing address) Floor Suite No
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Tenant Name #Units F—
2. Description of Work
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Aou I, N ew F I rt: Ser l h It -Cr-_5
Extg Sq Ft �—� New/Added Sq Ft F-1 Total Sq Ft r—I
Valuation $ Z,aoo
F7 New d r;. Alter r, Demo
# Stories
Check Appropriate Box for Applicant/Notification
Information
ri 3. Owner's Name Last First—',
Owner's Address Owner's E-mail Address
City State—! Zip Telephone
r 4. Architect/Designer's Name Last �— First F_ Lic. No. Fs
Architect/Designer's Address Architect/Designer's E-mail Address
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City State Zip F Telephoned �+
r 5. Engineer's Name Last �— First r�(��d J Lic. No.—'
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Engineer's Address Engineer's E-mail d ess
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City State�Zip �' Telephone
16.Contractor's Name LastC)r+fZ�First Lic No. Class
ClassC"i `fes
Contractor's Address Contractor's E-mail Address
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City State Zip CiD71U Telephon�_(�
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OFFICE USE ONLY PERMIT NO.
TYPE OF CONSTRUCTION 1 PLAN CHECK NO. �^
OCCUPANCY- GROUP I �%� t PLAN CHECK FEE $ {-
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