HomeMy WebLinkAboutF2021-0531 - Permit ApplicationWorksheet for Fire Permit Application
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City of Newport Beach -Building Division
Please print 3 copies If= _ D ob1
Associated Building Permit #X�j q '�i6p r Fire Sprinkler r- Fire Alarm r Fire Misc
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1. Project Address (Not mailing address) Floor Suite No
LOT71 2149ANDOVERLANE
Tenant Name # Units F
2. Description of Work
Use RESIDENTIAL
State— Zip Telephone
OF RESIDENTIAL FIRE SPRINKLERS H
_._.. VA
'?(A(!n p First cv(( Lic. No. F
Architect/Designer's Address
Valuation $ $2,105.00
Extg Sq Ft New/Added Sq Ft Total Sq Ft 3 004
State Zip Telephone—
r' 5. Engineer's Name Last
# Stories #
IXNew r, Add r Alter r-1 Demo
Engineer's E-mail Address
Check Appropriate Box for ApplicanVNotification
3. Owner's Name Last
First r
Owner's Address
Owner's E-mail Address
City !
State— Zip Telephone
j! 4. Architect/Designer's Name Last
'?(A(!n p First cv(( Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City � __.
State Zip Telephone—
r' 5. Engineer's Name Last
First F- Lic. No. (—;
Engineer's Address
Engineer's E-mail Address
---
City
State Zip �---_---` Telephone��
ix 6. Contractor's Name Last BISHIP First JAMIE, Lic. No. 684600 Class C-16
Contractor's Address
Contractor's E-mail Address
705 E. HARRISON STREET #200
iamieb@fireinc.net
City CORONAState
CA Zip 92879 Telephone951-272-2522
OFFICE USE ONLY
PERMIT NO. �YY�Zn(' CJI
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
T�A$sObj0 PLAN CHECK FEE $