HomeMy WebLinkAboutF2018-0408 - Permit Application� Zoe$ -of-tcxs
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit #
X_ Fire Sprinkler r,. Fire Alarm r-: Misc
1. Project Address (Not mailing address) Floor Suite No
J9A#<RT SHEFFIELD PL —'
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Tenant Name THE PORT SHEFFIELD 1836 TRUST #Units�'
2. Description of Work
Use
r 4. ArchitectlDesigner's Name
FIRE SPRINKLERS 64 HEADS
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..- -_ - _-_-- ---- __ __ .._._-___
Extg Sq Ft F New/Added Sq Ft ,Total Sq Ft �',
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Valuation$ 6400
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New Add
# Stories �.
jX' r r Alter r Dema
Engineer's Address
Check Appropriate Box for Applicant/Notification
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F_ 3. Owner's Name Last
�— First �-
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Owner's Address
Owner's E-mail Address J
City
State ! Zip F-7-7 Telephoner--.-
r 4. ArchitectlDesigner's Name
Last �— First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City F_—
State F_ Zip Telephone—
r 5. Engineer's Name Last
� FirstF Lic No. �—
Engineer's Address
Engineer's E-mail Address
City r
State F— Zip F— Telephoner—
F6. Contractor's Name Last CASEY First[MON TY Lic No. 876004 Class C-16
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
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City (L�A HABRA
State Zip 906,31 TelephoneF__
CA 14-476-5370
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OFFICE USE ONLY
l J l%% PERMIT NO. T__26 0-04co
TYPE OF CONSTRUCTION(
) PLAN CHECK NO.
�C (:)I(L
OCCUPANCY- GROUP
PLAN CHECK FEE $
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