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HomeMy WebLinkAboutF2019-0273 - Permit ApplicationWorksheet for Fire Permit Application City of Newport Beach - Building Division Please print 3 copies Associated Building Permit # �9��©`8 (2 1 '7 r Fire Sprinkler (— Fire Alarm =EW a0/jJ o� m -0273 �Gi[ORN�P F_ Fire Misc 1. Project Address (Not mailing address) Floor Suite No 2338 ARBUTUS ST F Tenant Name PILLA & JULIA RESIDENCE # Units F Owner's Address 2. Description of Work — I _ City Use e—, JS ITT` FIRE SPRINKLERS 44 HEADS F_ 4. Architect/Designer's Name Last First F Lic. No. �— J -g,$Pl Valuation $ 4400.00 Extg Sq Ft f New/Added Sq Ft r_--- Total Sq Ft �—' State Zip Telephone # Stories IK',, New r Add r Alter r Demo 1 _ Check Appropriate Box for Applicant/Notification 1.f�"w . ^n F- 3.Owner's Name Last First Owner's Address Owner's E-mail Address City State—® Zip F_ TelephoneF— F_ 4. Architect/Designer's Name Last First F Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address City I State Zip Telephone I— 5. Engineer's Name Last First F_ Lic No. Engineer's Address Engineer's E-mail Address City State Zip F.� Telephone X16. Contractor's Name Last CASEY First [MON TY Lic No. 876004 class --16 Contractor's Address Contractor's E-mail Address 1101 KINGSTON DR FIREPROOFMC@GMAIL.COM City LA HABRA StateCA Zip 90631 Telephone 714-476-5370 OFFICE USE ONLY PERMIT NO. F"e,C / - (5 7 7 TYPE OF CONSTRUCTION (15LI ' Z� PLAN CHECK NO. OCCUPANCY - GROUP ��/,r� Q _ Ol�Gj Z PLAN CHECK FEE $