HomeMy WebLinkAboutF2017-0243 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application go—)l
City of Newport Beach -Building Division
jXj Fire Sprinkler f— Fire Alarm f— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2401 ALTA VISTA ....._ __. _.. F F:
_. _. _....
Tenant Name ,.. #Units F;
2. Description of Work
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Use RESIDENTIAL�
INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS
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Extg Sq Ft _._ New/Added Sq Ft F al Sq Ft 5,779 _...
Valuation $ $7,136._
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New r7 Add
r! r' Alter � Demo
# Stories 2
Check Appropriate Box for Appiicant/Notification
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F 3. Owner's Name
Last First 2J
Owner's Address
Owner's E-mail Address O✓
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City
State F Zip f— Telephone
4. Architect/Designer's
Name Last First F—, Lic. No. F�,
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State Zip— Telephone—
5. Engineer's Name
Last � First F_ Lic No.
Engineer's Address
Engineers E-mail Address
City
_ State F_ zip F— Telephone—
fR 6. Contractor's Name
LastBISHIP First JAMIE Lic. No. 684600 Class C-16
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
1�..`t/J PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP
ZU I n , �J� PLAN CHECK FEE $
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