HomeMy WebLinkAboutF2021-0539 - Permit ApplicationPrint Form '
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Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
LOT 79 2143 ANDOVER LANE
Tenant Name
2. Description of Work
IX Fire Sprinkler )— Fire Alarm F_ Fire Misc
ALLATION OF RESIDENTIAL FIRE SPRINKLERS .Zq Ht,*
Extg Sq Ft F— New/Added Sq Ft F Total Sq Ft 3,004
r New F_ Add f— Alter F_ Demo
Check Appropriate Box for Applicant/Notification
F_` 3. Owner's Name Last F— First F—
Owner's Address Owner's E-mail Address
Floor j Suite No_
1
# Units F
Use PRESIDENTIAL
Valuation $ $2,105.00
# Stories F
City j State �—
ZiP �—' Telephone[�
F 4. Architect/Designer's Name Last First F�
Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State I— r_.._._._.
ZAP l Telephone(------'
(- 5. Engineer's Name Last ( First F_
Lic. No. �---
Engineer's Address Engineer's E-mail Address
City _... State — Zip Telephoner _.
r 6. Contractor's Name Last BISHIP First JAMIE Lic No. 684600 Class C-16
Contractor's Address Contractor's E-mail Address
5 E. HARRISON STREET #200 jamieb@fireinc.n
70et
City (CORONA State CA Zip 92879 Telephone 951-272-2522
OFFICE USE ONLY PERMIT NO. F'LoLl-• o GM
TYPE OF CONSTRUCTION PLAN CHECK NO. `LIP I I •?.o21
OCCUPANCY - GROUP
PLAN CHECK FEE $