HomeMy WebLinkAboutF2020-0337 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
PI& x inr 3 copies
Associated Building Permit # (//Fire Sprinkler rl Fire Alarm rj Fire Misc
1. Project Address (Not mailing address)
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Tenant Name
2. Description of Work
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Extg Sq Ft—i New/Added Sq Ft �Total ScFt
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Check Appropriate Box for Applicant/Notification
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Suite No
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Use
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Valuation $ QUpo
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r 3. Owner's Name Last NOCZ.Ar 1
First
Owner's Address
Owners E-mail Address
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State �C
Zip F— Telephone F�
F_ 4. Architect/Designer's Name Last
i First Lic. No. �—
Architect/Designer's Address
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Architect/Designer's E-mail Address
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City F
State �—
Zip F -----7 Telephone
(' 5. Engineer's Name Last
First Lic No. F`
Engineers Address
Engineers E-mail Address
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Zip F—:Telephone '
[I6. Contractor's Name Last yJct First [ly-j Lic No. �� �/o�j� Class h
Contractor's Address
Contractor's E-mail Address
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OFFICE USE ONLY
% PERMIT NO.
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TYPE OF CONSTRUCTION
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PLAN CHECK NO.
OCCUPANCY - GROUP
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( PLAN CHECK FEE $
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Print Name:
Signature: _
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
PLAN SUBMITTAL FORM
❑ Pick-up Plans
Date:
Permit Tech:
Phone #: _e'tti) 478 - yc0
Email: Seansrcc�l�re.cc•�
Plan Check/Revision #:
Project Address
Additional Information
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Submitting Plans
Plan Check or Revision Number Number of Plan Name each document i.e., permit
Sets or application, plans, structural caics, soil
documents renort, etc.
Payment Method
Payment can be made by credit card via phone at (949) 718-1888.
PAYMENTS MUST BE MADE AFTER 48 HOURS OF SUBMITTAL DUE TO QUARANTINE OF PLANS
Notes: