HomeMy WebLinkAboutF2019-0556 - Permit ApplicationWorksheet for Fire Permit Application
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City of Newport Beach -Building Division , � to
Please print 3 copies oaH.
Associated Building Permit # r'. Fire Sprinkler r7 Fire Alarm F- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1805E BAY AVE F777
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Tenant Name MC MC CAFFERTY RESIE DENCE #Units
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2. Description of Work
City
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StateF777Zip F F77777
Use
Name Last First I Lic. No. J
FIRE SPRINKLERS
Architect/Designer's E-mail Address
26 HEADS
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Valuation 2600 _I
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Extg Sq Ft I New/Added Sq Ft Total Sq Ft
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Last First l l Lic. No.
#
Stories F7'
�: New r Add [I Alter [ Demo
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Check Appropriate Box for ApplicantlNotification
❑ 3. Owner's Name
Last I First
Owner's Address
Owners E-mail Address
City
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StateF777Zip F F77777
, 4. ArchitectlDesigner's
Name Last First I Lic. No. J
Architect/Designees Address
Architect/Designer's E-mail Address
City
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- State Fj Zip F77777Telephone
5. Engineer's Name
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Last First l l Lic. No.
Engineer's Address
-Engineer's E-mail Address
City
State i Zip Telephone
[X 6. Contractor's Name
Last CASEY - First MONTY Lic. No. 876004 Class C-16_
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
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FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA Zip 90631 Telephone 714 476-5370
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OFFICE USE ONLY
1 ERMIT NO.
TYPE OF CONSTRUCTION F PLAN CHECK NO.
OCCUPANCY- GROUP
�� PLAN CHECK FEE $.
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