HomeMy WebLinkAboutF2022-0266 - Permit ApplicationWorksheet for Fire Permit Appllcauvii
Print Form City of Newport Beach - Building Division
Please print 3 copies
Fire Sprinkler Fire Alarm Fire Misc
Associated Building Permit # - -
Floor Suite No
1. Project Address (Not mailing address) I '� C
TU
1-1 414J
- - ----P- G " �- t=--+-- ------
- - # Units - -
Tenant Name _ - -- - _ --- -
2. Description of Work Use
l ��
L I
-- ------ -- -- ---- Valuation $F_
��
—��
New/Added Sq Ft —� Total Sq Ft
Extg Sq Ft - - - - l
— ---
---- #Stories
[� New ❑ Add rj Alter ❑Demo
Check Appropriate Box for Applicant/Notification
F 3. owner's Name
First !I
Last •tj 'ZR�Y:�� � '`
OwnW)77
'Address
"
City State
-- --------- -- Last First ---
F-'j 4. Architect/Designer's Name
Architect/Designer's Address i
State F-7-7
City ---------------
F-1 5. Engineer's Name
Owner's E-mail Address
11
Zip[717
1._� Telephone - - — --. -
Lic. No.
Architect/Designer's E-mail Address
Zip
Telephone
--- --' �---�
—I
Last
First
Engineer's Address
w(` t7----__-- State
city � �' Y ----- --
Lic. No.F�
Engineer's E-mail Address
I
Zip L ti "
/ Telephone
i------------
(`I6. Contractor's Name Last
Contractor's Address
I
City
State
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP —
First Lic. No. F—� Class�i'
Contractor's E-mail Address
Telephone
Zip--------------�
PERMIT NO. � r 0 (iL'
PLAN CHECK NO.
PLAN CHECK FEE $