HomeMy WebLinkAboutF2021-0037 - Permit ApplicationMERED
Please print 3 copies
Associated Building Permit #
1. Project
`710 Jay`
Tenant Name
Worksheet for Fire Permit Application
City of Newport Beach - Building Division Uot i -00,31
mailing address)
4
2. Description. of Work
V Fire Sprinkler
r Fire Alarm r, Fire Misc
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Total Sq Ft
Extg Sq Ft c3 New/Added Sq Ft
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R New r
Add IF, Alter r Demo
Floor Suite No
#Units F�',
Use
Valuation $ 3000
# Stories 7
Check Appropriate Box for Applicant/Notification
First
rl 3. Owner's Name Last Owners E-mail Address
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Lic. No.
First
r Q. ArchitectlDesigner's Name Last Architect/Designers E-mail Address
Architect/Designees Address
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State
Zip Telephoned'.
City
Lic. No.
First
r 5. Engineer's Name Last
Engineer's E-mail Address
Engineer's Address
State
Zip Telephone
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City
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Lic. No.
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First
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r6. Contractor's Name Last
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I Address
Contractor's Address
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OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
Contractors E-ma10
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PERMIT NO.
61°h
PLAN CHECK NO. —o_-2L-
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PLAN CHECK FEE $ —�