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HomeMy WebLinkAboutF2023-0114 - Permit ApplicationWorksheet for Fire Permit Application�`w'° City of Newport Beach - Building Division 1r_ Z 3 , 61 Ill- o Please print 3 copies ��1111 G" Associated Building Permit # EZ2,^ 1 /'7(P V Fire Sprinkler F_' Fire Alarm ri Fire Misc 1. Project Address (Not mailing address) Floor Suite No � 2� _.per � _�' i(-- _ �_ — Tenant Name jf�L �I �� #Units F 2. Description of Work .Use Extg Sq Ft F—NewlAdded Sq Ft —'. Total Sq Ft l���JJJ Valuation$ �eC2`%©' - F._' New (! Add � Alter F_ Demo # Stories Check Appropriate Box for Applicant/Notification [-; 3. Owner's Name Last 1Qnj - -- — - / Owner's Address Owner's E-mail Address City =u7P�T �f}� State Zip JT6&0 Telephoned F_ 4. Architect/Designer's Name 1 Last First Architect/Designer's Address Architect/Designer's E-mail Address City I State Zip �— Telephoned---- F_ 5. Engineer's Name Last First F— Lic. No. �— Engineer's Address Engineer's E-mail Address City _ State �— Zip Telephone�— 6. Contractors Name Last 5MP_5bFirst Lic. No.// Class Contractors Address Contractor's E-mail Address _ v'T 7 cPr 0 U�o np _ J 1 %� t �. _ %,da, h g City y 'L-� _.-- State 1 �A Zip rJ 7/ Telephone t � 07fj(� OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. PGZ�9 J d OCCUPANCY - GROUP n ? -- Cyy a PLAN CHECK FEE $ Lib