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HomeMy WebLinkAboutF2020-0502 - Permit ApplicationWorksheet for Fire Permit Application o 9m Print Form z City of Newport Beach -Building Division Please print 3 copieC Associated Building Permit r Fire Sprinkler j fire Alarm F_Fire Misc 1. Project Address (Not mailing address) 3404 QU I ET COVE Tenant Name IFLORIANI RESIDENCE 2. Description of Work & a FIRE SPRINKLERS f ut 6— 53HEADS `l}'C Extg Sq Ft F New/Added Sq Ft �— Total Sq Ft F r New r Add F_ Alter r Demo Check Appropriate Box for Appiicant/Notification Floor Suite No # Units �— Use Valuation $ 5300 # Stories I F- 3. Owner's Name Last First F_ Owner's Address Owner's E-mail Address City State F_ Zip F_ Telephoned j— 4. Arch itect/Designer's Name Last First Lic. No. F� Architect/Designer's Address Architect/Designees E-mail Address City State F— Zip F_ TetephoneF_ r 5. Engineer's Name Last First 7 Lic. No. Engineer's Address Engineer's E-mail Address City State F_ Zip F__ Telephoned r 6. Contractor's Name Last CASEY First MONTY Lic. No. 876004 Class C-16 Contractor's Address Contractor's E-mail Address 1101 KINGSTON DR FIREPROOFMC@GMAIL.COM City LA HABRA State CA Zip 90631 Telephone 714-476-5370 V OFFICE USE ONLY r 11� PERMIT NO. I TYPE OF CONSTRUCTION " PLAN CHECK NO. OCCUPANCY -GROUP �2��Ji j,_ /'1i►/Lt= PLAN CHECK FEE $