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,jciated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
T10 tq • D151 IP
S t r! Fire Sprinkler rJ Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
3300,3302,3304,3306,3308,3310 Via Oporto (6 PLEX) (BLDG 5)
Tenant Name
2. Description of Work
6"A
riour aUIW Ivo
5 5
# Units F 5
n V vrRI1Yf\LCR IVIVIYI VRIIVV Use (RESIDENTIAL
Valuation $ $2,800.00
EMg Sq Ft l New/Added Sq Ft Total Sq Ft 95,449. j
ri New Add # Stories 6
r ❑Alter [ J Demo
Check Appropriate Box for ApplicanVNotification
F 3. Owner's Name Last
I First F7777—'I
Owner's Address
Owner's E-mail Address
i
City
I
-,,I State— Zip—li Telephoned
r'i 4. Arch itect/Designer's Name
Last FirstF_ Lic. No. '
Architect/Designer's Address
_j
Architect/Designees E-mail Address
p I
_F�S U[DAll
City F�j
State Zip F _ — Telephone
F_ S. Engineer's Name Last
First —i Lic. No.
1
Engineer's Address
Engineer's E-mail Address
I
City_ _ -_,;
I
State Zip—,i Telephoned
IXI6. Contractor's Name Last RODGERS First CHRIS Llc. No. 854971 Class C-10
ontractor's Address
Contractor's E-mail Address
705 E. HARRISON STREET #200
CHRISR@FIREINC.NET
City
Cit CORONA
State CA Zip 92879 Telephone951-452-593fi
OFFICE USE ONLY
PERMIT NO. rY
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY -GROUP
PLAN CHECK FEE $