HomeMy WebLinkAboutF2020-0419 - Permit ApplicationWorksheet for Fire Permit Application
E City of Newport Beach -Building Division
Please print 3 copies FZo Z0 •aq o•''
Associated Building Permit # fXj Fire Sprinkler I—, Fire Alarm Fire Misc
1. Project Address (Not mailing address)
68 2165 ANDOVER LANE
Tenant Name
2. Description of Work
INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft 2,499 _.._
r; New 1-1 Add j" Alter f 7 Demo
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last
First
Owner's Address Owner's E-mail Address
Floor Suite No
#Units
Use RESIDENTIAL
Valuation $ 1,843.00
# Stories !
City ___. __ _._. State �� Zip Telephoner...
jXI6. Contractor's Name Last BISHIP� 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
TYPE OF CONSTRUCTION
PERMIT NO.yvwv v r � r
PLAN CHECK NO. l" 70-LO
OCCUPANCY - GROUP
U PLAN CHECK FEE $