HomeMy WebLinkAboutF2018-0552 - Permit Application (2)121Worksheet for Fire Permit Application
-21100= City of Newport Beach - Building Division
Please print 3 copies F
Associated Building Permit # r— FX_ Fire Sprinkler F,, Fire Alarm ' Fire Misc
1. Project Address (Not mailing address) Suite No
rrr- —Floor
3351, 3353, 3355, 3357 VIA LIDO (4-PLEX)
Tenant13,E t1 n # Units (�..'
2. Description of Work
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Use RESIDENTIAL
INSTALLATION
OF RESIDENTIAL FIRE SPRINKLERS
Architect/Designer's Address
EMg Sq Ft I ; New/Added Sq Ft �_— Total Sq Ft 11,972 :
Valuation $ $12,224.00
F> -(New r Add C- Alter r Demo
#Stories I -
Check Appropriate Box for Applicant/Notification
(-', 3. Owner's Name LastI,z
FIT / t / .First F
u Gry
Owne-rrs7Address
Owner's E-mail Address
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City 4�V-\-rr�,.._.
State ( t Zip .,,.,,,,. Telephoner
r 4. Archite es gner's Name ast S cLaGlq¢Z Firstvy�e 1 Lic. No. r
lAddress
Architect/Designer's Address
Architect/Designees E-mail
los e. fl vv;sa,...-**00 VY; IS LfiveiKC Vliet_
City _�Q 1�,., _.._.
State Zip . �a Telephone go,_glq3_73
F_ 5. Engineer's Name Last F
First Lic. No. F
Engineer's Address
Engineer's E-mail Address
City F
State I__ Zip F_ Telephoned_---
FX 6. Contractor's Name Last BISHIP First JAMIE Lic. No. 684600 Class C-16
Contractor's Address
Contractor's E-mail Address
705 E. HARRIISON STREET #200
jamieb@fireinc.net
City CORONA
State CA Zip 92879 Telephone 951-272-2522
OFFICE USE ONLY
X� (� -�j �LD I PERMIT NO. i "- 0552
TYPE OF CONSTRUCTION
LFII Z ` 1 PLAN CHECK NO.Z,4166-7 I V
OCCUPANCY- GROUP
PLAN CHECK FEE $
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