HomeMy WebLinkAboutF2021-0536 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
FWA D53 D
(X, Fire Sprinkler j—', Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
LOT 76 2159 ANDOVER LANE
Tenant Name # Units F
2. Description of Work
Use RESIDENTIAL
INSTALLATION OF
RESIDENTIAL FIRE SPRINKLERS
Extg Sq Ft F— New/Added Sq Ft Total Sq Ft 2,499
Valuation $ $1,843.00
rXNew r', Add j-" Alter r Demo
# Stories
Check Appropriate Box for Applicant/Notification
F` 3. Owner's Name Last l— First
Owner's Address Owner's E-mail Address
City State F— Zip Telephoned—
r 4. Arch itect/Designer's Name Last �— First F Lic. No.
ArchitecUDesigner's Address Architect/Designer's E-mail Address
City StateL Zip � Telephoned
FX 6. Contractor's Name LastBISHIP First JAMIE Lic. No. 684600 Class F16
Contractor's Address Contractor's E-mail Address
705 E. HARRISON STREET #200 jamieb@fireinc.net
City CORONA State CA Zip 92879 Telephone 951-272-2522
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO. T LU GI °ylvp /
PLAN CHECK NO. 9.0097 ?.o?'A
PLAN CHECK FEE $