HomeMy WebLinkAboutF2021-0532 - Permit ApplicationWorksheet for Fire Permit Application �0*i A, 0
City of Newport Beach -Building Division
Please print 3 copies
Associated Building Permit # XV I 30(�D r Fire Sprinkler f -" Fire Alarm (— Fire Misc
1. Project Address (Not mailing address)
LOT 72 2151 ANDOVER LANE
Tenant Name 1
2. Description of Work
OF RESIDENTIAL FIRE SPRINKLERS 32 N
Extg Sq Ft---, New/Added Sq Ft Total Sq Ft 2,916 _.._
ri New r, Add r Alter f Demo
."u ^PPI VIn lam Dort rur Appncanurvottttcation
Floor
Suite No
Owner's Address
I
# Units
—
F
Use RESIDENTIAL �Y
Valuation $ $1,895.00
# Stories I -
r 3. Owner's Name Last
F�
First
Owner's Address
_._,.
Owner's E-mail Address
City F�
State �— Zip Telephone----
r 4. Arch itect/Designer's Name
Last First F_Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
city
State Zip l Telephone —
f ", S. Engineer's Name Last F
�First,
Lic. No.
Engineer's Address
Engineer's E-mail Address
City F---�
� State F__ Zip F— Telephoner—
S. Contractor's Name Last SHIP First JAMIE Lic. No. 684600 Class C-16
F F
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
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.®L ��
OCCUPANCY- GROUP
PLAN CHECK FEE $