HomeMy WebLinkAboutF2020-0358 - Permit ApplicationWorksheet for Fire Permit Application
p�it> FOrrti" City of Newport Beach - Building Division
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Please print 3 copies r, Fire Sprinkler (`. Fire Alarm
Associated Building Permit # _____.._ -- --
1. Project Address (Not mailing address) -
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317 CORONADO AVEAV --
Tenant Name NEW RESIDENCE
2. Description of Work
FIRE SPRINKLERS --
25 HEADS
- New/Added Sq Ft--
Total Sq Ft
Extg Sq Ft �
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New
[" ! Add [ Alter [, Demo
Check Appropriate Box for AppjicantlNotificatjon
[3. Owner's Name
Owner's Address
- State
City - _ -
r, 4. Architect/Designers Name
r', Fire Misc
First �--1
Las ------ - -- _ Owner's E-mail Address
Zip Telephone
-
i--
Floor
Suite No
# Units F77
Use --
Valuation $ 2,500
i
# Stories 3
Last ----
Lic. No.
First 7777
-- - - r' E-mail Address
�Architect/Designer's Address
---
-- - - - State -- -
City
rj 6. Engineer's Name
Architect/Designe s
Zip -I Telephone --
Last --- -�
Engineer's Address
- State
City-----------J --
Contractor's Name Last CASEY
F> 6. --------
Contractor s E-mail Address
FIREPROOFMC@GMAILCOM
Telephone 714-476-5370
Zip Fc631
Lic. No.-�-_',
First�i
d
Engineer's E-mail Adres --- - -
- - ----,
Zip Telephone�
i
Contractor's Address
1101 KINGSTON DR -- --- -'
I State
City LA HABRA _ _
Lic. No.—' Class�i
----- -
First MONTY -- - -
OFFICE USE ONLY 10 ^ '1 C
TYPE OF CONSTRUCTION W ` �� J��1
OCCUPANCY- GROUP�r�
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $
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