HomeMy WebLinkAboutF2023-0082 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # Fire Sprinkler (— Fire Alarm J Fire Misc
1. Project Address (Not
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Tenant Name
2. Description of Work
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EMg Sq Ft New/Added Sq Ft O Total Sq Ft
?New I- Add F- Alter F_ Demo
Check Appropriate Box for Applicant/Notification
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Floor
Suite No
# Units
—_
aluatio $ � _
# Stories
3. Owner's Name Last
Owner's Address
Owner's E-mail Address
City
State �i Zip-
Telephone j
4. Architect/Designer's Name
Last
__ First— Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
City _
State F_ Zip
Telephone--
r 5. Engineer's Name Last
First —�_ Lic.No.
�—
Engineers Address
Engineer's E-mail Address
City
State Zip
[77777 Telephonee
j` 6. Contractor's Name Last 044_1
First 1 1(J y Lic No. Class F_
Contractors Address
Contractors E-mail Address
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City V1 _ ` State C�[� Zip
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7
q m Telephone r/ fj^ 2-,j?8
OFFICE USE ONLY
PERMIT NO.
V
PLAN CHECK NO I
TYPE OF CONSTRUCTION
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OCCUPANCY - GROUP
PLAN CHECK FEE $