HomeMy WebLinkAboutF2020-0094 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
1. Project Address
1027 DOLPHIN TERRACE
Worksheet for Fire Permit AppucF��_J�_Oattiojn
City of Newport Beach - Building Divisio
1 6 j 6i Fire Sprinkler ❑ Fire Alarm [Fire Misc
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Tenant Name MAYER RESIDENCE
2. Description of Work
E SPRINKLERS
HEADS
Extg Sq Ft F—I New/Added Sq Ft F' Total Sq Ft F7j
FK New [ Add [❑ Alter [ Demo
Check Appropriate Box for Applicant/Notificadon
[ 3.Owner's Name Last First F—
Owner's Address
City State _-----J --
Last J First�j
4. ArchitectlDesigner's Name
Floor Suite No
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# Units F
Use FFFT777
Valuation $ 5200 _
# Stories F7I',
Owner's E-mail Address
Zip Telephone J
Architect/Desi---r _ Address
City State
Lic. No.
�A-rc—hiteect/D—esigner's E-mail Address
Zip
Telephone
I
[; 5. Engineer's Name Last First _— ---�
Lic No.
Engineer's Address Engineer's E-mail Address
i
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State �� Zip �� TelephoneF
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`Tactor's Name Last CASEY First[MON TY Lic. No. 876004 ClasslC 16
4ress Contractor's E-mail Address
FIREPROOFMC@GMAIL.COM
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,DR j
Telephone 714 476 5370
J State CA Zip 90631 P
PERMIT NO. r r��7l — f7
PLAN CHECK NO. o-foT - T OZZ-)
PLAN CHECK FEE $