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HomeMy WebLinkAboutF2022-0054 - Permit ApplicationWorksheet for Fire Permit Application -Print Form ' City of Newport Beach - Building Division o Please print 3 copies f 02 '1 � 0o5y Associated Building Permit # 61�> r, Fire Sprinkler [ Fire Alarm ` Fire Misc I- Project Address (Not mailing address) Floor Suite No 1436 NEWPORTER WAY �— F_ Tenant Name HOGAN RESIDENCE # Units—'! 2. Description of Work Use'�C V FIRE SPRINKLERS 26 HEADS J Zip F7777 TelephoneF— Valuation $ 2600- (� Extg Sci Ft I New/Added Sci Ft Total Sci Ft �� First Lic. No. ArchitecUDesigner's Address # Stories r, New F- Add F_ Alter I- Demo City Check Appropriate Box for Applicant/Notification J_- 3. Owner's Name Last First F_ Owner's Address Owner's E-mail Address City State Zip F7777 TelephoneF— r- 4. Architect/Designees Name Last First Lic. No. ArchitecUDesigner's Address Architect/Designer's E-mail Address City State F_ ZipF— Telephoned F_I 5. Engineer's Name Last � First F_ Lic No. Engineer's Address Engineer's E-mail Address City �— State F Zip �,' Telephoned r'; 6. Contractor's Name Last [CASEY First MONTY Lic. No. 876004 Class C-16 Contractor's Address Contractor's E-mail Address 1101 KINGSTON DR FIREPROOFMC@GMAIL.COM City LA HABARA State CA Zip 90631 Telephone714-476-5370 OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. O L712 OCCUPANCY- GROUP 7 PLAN CHECK FEE $