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City of Newport Beach - Building Division
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Associated Building Permit #
FX`i Fire Sprinkler [, Fire Alarm [ Fire Misc
9%
1. Project Address (Not mailing address) Floor Suite No
1717 OCEAN BLVD I
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Tenant Name GARRETT RESIDENCE # Units �''
2. Description of Work
Use
FIRE SPRINKLERS
29 HEADS
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Extg Sq Ft F77777New/Added Sq Ft �I Total Sq Ft �
Valuation $ 2900 - -1I
[' New [Add [, Alter [Demo
# Stories
t.necK Appropriate Box for AppiicantlNotification
[ 3. Owner's Name Last - --- - - - ---- --- First [�_-
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- i--..._- __ . - __-
Owner's Address Owner's E-mail Address
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City State Zip j Telephoned77
F- 4. Architect/Designees Name Last First Lic. No.
Architect/Designer's Address Architect/Designees E-mail Address
i
City State Zip—I Telephone-
[ 5. Engineer's Name Last First
_ Lic. No.
Engineer's Address Engineer's E-mail Address
City State I Zip F—i Telephone li
[Xj 6. Contractor's Name Last CASEY First MONTY Lic. No. 876004 Class C-16
Contractor's Address Contractors E-mail Address
1101 KINGSTON DR FIREPROOFMC@GMAIL.COM
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City LA HABRA State CA Zip 90631 Telephone 714 476-5370
OFFICE USE ONLY x r PERMIT NO. q u
TYPE OF CONSTRUCTION PLAN CHECK NO. wlJd `
OCCUPANCY- GROUP PLAN CHECK FEE $