HomeMy WebLinkAboutF2019-0554 - Permit ApplicationWorksheet for Fire Permit Application
V "LL_p�m'�s l City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit# n Fire Sprinkler [Fire Alarm El Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1700 OCEAN BLVD
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Tenant Name I NEW RESIDENCE 71(2Ga15) '€� (y # Units
2. Description of Work
Use
FIRE SPRINKLERS
34 HEADS i
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Valuation $ 3400
Extg Sq Ft New/Added Sq Ft Total Sq Ft
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Stories �3
New F-]#
Add [Alter �'� Demo
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Check Appropriate Box for Applicant/Notification
3. Owner's Name Last FirstF___
Owner's Address Owner's E-mail Address
City��- State F— Zip "' E `Telephone
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4. Architect/Designer's Name Last First Lic. Nof!
ArchitecUDesigner's Address Architect/Designer's E-mail Address
City -, - ---- -_i State __7 zip �j Telephone
❑ 5. Engineer's Name Last First �I Lic. No.
Engineer's Address Engineer's E-mail Address
City - State r Zip Telephone��
[j 6. Contractor's Name Last CASEY FirstMONTY Lic. No.876004 Class C-16
Contractor's Address Contractor's E-mail Address
1101 KINGSTON DR FIREPROOFMC@GMAIL.COM
City LA HAI State CA Zip 90631 Telephone 714-476�-5370
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OFFICE USE ONLY ,%7 ��� PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY - GROUP p �" - 6 PLAN CHECK FEE $