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HomeMy WebLinkAboutF2020-0284 - Permit Applicationf �Print�orrn'^ Worksheet for Fire Permit Application o�EW�� City of Newport Beach - Building Division 1'Z5 I Please print 3 copies -ORBy c<,.oa Associated Building Permit # Fx_� Fire Sprinkler f— Fire Alarm ri Fire Misc 1. Project Address (Not mailing address) Floor Suite No 417 E. BAY AVE Tenant Name NEW RESIDENCE # Units 2. Description of Work Use FIRE SPRINKLERS 33 HEADS I� First Lic. No. �I II I 777 Extg Sq Ft � New/Added Sq Ft F—Total Sq Ft Valuation $ 3300- City # Stories I FX, r Add r, Alter r Demo Engineer's Address Check Appropriate Box for Applicant/Notification (-' 3. Owner's Name Last First Owner's Address Owner's E-mail Address City State �— Zip F_— TelephoneF 1 4. Architect/Designer's Name Last I� First Lic. No. �I II I 777 Architect/Designees Address Architect/Designer's E-mail Address �I City State—; Zip F— Telephone [i 5. Engineer's Name Last First Lic. No. �— Engineer's Address Engineer's E-mail Address City - -- Stater Zip Telephone F>� 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 HABRA State CA - Zip 90631 Telephone 714 47670 -53 OFFICE USE ONLY PERMIT NO. Wo ULU TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP J '� �'� PLAN CHECK FEE $ v