HomeMy WebLinkAboutF2019-0315 - Permit Applicationt"tT
Worksheet for Fire Permit Application o
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City of Newport Beach - Building Division
Please print 3 copies ` N"`N;,"
Associated Building Permit # PZ; Fire Sprinkler r Fire Alarm F- Fire Misc
1. Project Address (Not mailing address)
20451 BAYVIEW AVE NEWPORT BEACH, CA 92660
Tenant Name
Floor Suite No
# Units F
2. Description of Work
INSTALL RESIDENTIAL FIRE SPRINKLER SYSTEM -13D /,W -HEADS Use
Valuation $
Extg Sq Ft 1617 New/Added Sq Ft 1643 Total Sq Ft 3260 }gyp v
#Stories
R New ri Add r. - Alter r Demo
Check Appropriate Box for Applicant/Notification
Infocilonflon
R 3. Owner's Name
Last Andrews Firstohnson
Owner's Address
Owner's E-mail Address
83 S. Peak
City Laguna Niguel
State ca Zip F677 Telephone 914-980-0653
[)Z 4. Architect/Designer's Name Last ran First ngoc Tram Lic. No.
1038155
Architect/Designer's Address
Architect/Designer's E-mail Address
12601 George 11 Stree
ngoctramtran71@gmail.com
City Garden Grove StateCa Zip 92840 Telephone 714 -875-6920
F —
5. Engineer's Name
Last FirstLic No.
Engineer's Address
Engineer's E-mail Address
i
City
State F Zip F Telephone
6. Contractor's Name Last ran First N ocTram Lic. No. 1038155 Class -16
Contractor's Address
Contractor's E-mail Address
12601 George Street
City Garden Grovve
State ca Zip 2840 Telephone 714 -875-6920
OFFICE USE ONLY
���- PERMIT NO.
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TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
/�`J Z®n PLAN CHECK FEE $
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