HomeMy WebLinkAboutF2021-0013 - Permit ApplicationWorksheet for Fire Permit Application U�,,,
ItitR6trn` City of Newport Beach - Building Division
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Isociated Building Permit # ig Fire Sprinkler ❑Fire Alarm [ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2201 BAYSIDE DR -
Tenant Name I NEW RESIDENCE # Units
2. Description of Work
FIRE SPRINKLERS JAN 172 7071 Use
84 HEADS -- --
_- --T R-
C()NstJl GROUP Valuation $ 8400 j
Extg Sq Ft F7-- New/Added Sq Ft �— Total Sq Ft - ---
--- - - �-
# Stories
New l [ j! Add r j Alter C', Demo
Check Appropriate Box for Applicant/Notification
❑ 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City -
State Zip r Telephone
F -7 7 7
4. Architect/Designer's Name Last
- - - - -- ' First Lic. No. 77
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
City
State Zip Telephonedi
❑ 5. Engineer's Name Last First ��
- Lic. No.
Engineer's Address
Engineer's E-mail Address
i
city --- - -
- - - P - - -
State Zip Telephone
rx16. Contractor's Name Last CASEY
First MONTY Lic. No. 876004 Class C-16
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
--- - .. ---
FIREPROOFMC@GMAIL.COM
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city LA HABRA J,'
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State CA Zip g0631 Telephone 714-476 5370
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $