HomeMy WebLinkAboutF2021-0570 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
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1. Project Address (Not mailing address) Floor Suite No
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Tenant Name# Units
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2. Description of Work
Owner's E-mail Address
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Extg Sq Ft New/Added Sq Ft Total Sq Ft----
Valuation $
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Check Appropriate Box for Applicant/Notification
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K3. Owner's Name Last
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Owner's Address
Owner's E-mail Address
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CI 4. Arch itect/Designer's Name _ La t �L�Pq�
I First I�' �p� _ Lic. No.�I
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Architect/Designer's Address
Architect/Designer's E-mail Address
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5. Engineer's Name Last
First Lic. No,
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Engineer's E-mail Address
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Contractor's Name LastFirst Lic. No. q 3 Class G.�D
Contractor's Address
Contractor's Email Address
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OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION —.
PLAN CHECK NO.
OCCUPANCY - GROUP
Z7i PLAN CHECK FEE $