HomeMy WebLinkAboutF2018-0553 - Permit ApplicationW, 4r nt,Mt p
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies r2lo Q 0 . 0653
Associated Building Permit# 17,
FX_, Fire Sprinkler r7Fire Alarm r"•"'••: Fire Misc
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1. Project Address (Not mailing address) Floor Suite No
33010,3 02,3304,-3-306,3-308,31310 VIA LIDO (6-PLEX) ,._. _.
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Tenant Name l_.� r. #Units
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2. Description of Work
Use RESIDENTIAL
State F Zip F Telephoner_ _.._
INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS
Last _._. First Lic. No.I
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Extg Sq Ft I New/Added Sq Ft F—Total Sq Ft 15,449
Valuation $ 15,904.00.
City .,,
#Stories I
r; New Add (—', AlterF-, Demo
— - First F— Lic. No.
Check Appropriate Box for Applicant/Notification
(—, 3. Owner's Name Last F
First
Owner's Address
Owner's E-mail Address
City .,.
State F Zip F Telephoner_ _.._
F, 4. Architect/Designer's Name
Last _._. First Lic. No.I
Architect/Designer's Address
Architect/Designer's E-mail Address
City .,,
State F Zip F Telephone—
[', S. Engineer's Name Last r
— - First F— Lic. No.
Engineer's Address
Engineer's E-mail Address
city _
State h.�. Zip TelephoneF_
FX; 6. Contractor's Name Last BISHIP _.._ First JAMIE_ __. Lic No. 684600 :, Class C 19.
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
Y7�1 3��� PERMIT NO. k Zo�I?)q-- C)
TYPE OF CONSTRUCTION
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PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $