HomeMy WebLinkAboutF2016-0275 - Permit ApplicationPrint Form
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Associated Building Permit #
Worksheet for Fire Permit Application o�
City of Newport Beach - Building Divisionrrte21a/rm
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�IX FireSprinkler J... ( Fire Misc
1. Project Address (Not mailing address)
157 SHORECLIFF
Tenant Name
door Suite i
# Units
2. Description of Work
Use RESIDENTIAL
INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS III
........
Valuation $ 12,968.00
Extg Sq Ft New/Added Sq Ft Total Sq Ft 11,940
# Stories
IXNew (_' Add [; Alter F- Demo [2
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last
First F
Owner's Address
Owner's E-mail Address
. .... _... ....
City
........
StateF777 Zip Telephone
F_ 4. Architect/Designer's Name Last
r , j/r�Yb First [ �\ 5v 5 Lic. No
Architect/Designer's Address
Architect//Designer's E-mail Address
City
State Zip Telephone
(_ 5. Engineer's Name Last F��
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State u Zip Telephone
IX 6. Contractor's Name Last BISHIP
First JAMIE Lic. No. 684600 Class c-16
6
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Contractor's Address
Contractor's E-mail Address
705 E. HARRISON STREET #200
._
iamieb@fireinc.net ....... _
...
City CORONA
State CA Zip 92879 Telephone 1800-915-3473
OFFICE USE ONLY
PERMIT NO.
_ �v�
TYPE OF CONSTRUCTION
PLAN CHECK NO.
V40
OCCUPANCY- GROUP
CLAN CHECK FEE $