HomeMy WebLinkAboutF2018-0373 - Permit ApplicationT7Zo\`S-07_-_-,-7li�-)
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Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
JX—,, Fire Sprinkler r Fire Alarm f' - Fire Misc
1. Project Address (Not mailing address) Floor Suite No
921 CLIFF DR
Tenant Name MANNAWI RESIDENCE # Units
2. Description of Work
Use �— j
State Zip F Telephone
FIRE SPRINKLERS (45 HEADS)
Name Last First F—Lic No.
Architect/Designer's Address
Valuation $ 4500
Extg Sq Ft F— New/Added Sq Ft F_Total Sq Ft F_
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F7 5. Engineer's Name
#Stories I -
FK New r Add r Alter r Demo
Engineer's E-mail Address
Check Appropriate Box for Applicant/Notification
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F,_ 3. Owner's Name
Last I First [77777777
Owner's Address
Owner's E-mail Address
City
State Zip F Telephone
r' 4. Architect/Designer's
Name Last First F—Lic No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F' Zip Telephone
F7 5. Engineer's Name
Last �— First Lic No. F—'
Engineer's Address
Engineer's E-mail Address
City I
State �— Zip F7777 Telephone�—
r16. Contractor's Name
Last CASEY - FirstMONTY Lic. No. 876004 Class C-16
Contractor's Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA -
State CA Zip 90631 _ Telephone 714-476-5370
OFFICE USE ONLY
! PERMIT NO.
TYPE OF CONSTRUCTION ��( 1�, a(�L� PLAN CHECK NO.
OCCUPANCY- GROUP
XZO) ] 2Sc�-2_�PLAN CHECK FEE $