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HomeMy WebLinkAboutF2021-0093 - Permit Application4, ,Ptil4Forrh,,,, Please print 3 copies Associated Building Permit # ug", Worksheet for Fire Permit ApplicationCity of Newport Beach - Building Division 1. Project Address (Not mailing address) E.15TH ST Tenant Name FLORIANI POOL HOUSE 2. Description of Work RE SPRINKLERS HEADS © Fire Sprinkler ❑ Fire Alarm ❑Fire Misc Extg Sq Ft [7-77777 New/Added Sq Ft Total Sq Ft F7777 V New ❑ Add ❑ Alter ❑ Demo Check Appropriate Box for Applicant/Notification ❑ 3. Owners Name Last L Firstr— Floor Suite No # Units 177 Use Valuation $ 7,000 i # Stories 1 Owner's Address Owner's E-mail Address City State—, Zip e J TelephonJ ❑' 4. Architect/Designer's Name Last Architect/Designees Address City —-------..-----..__ State—', First Lic. No. ArchitectlDesigner's E-mail Address Zip F7 Telephoned' ❑ 5. Engineer's Name Last First Lic. No.—i, Engineer's Address i City _ State Engineer's E-mail Address Zip Telephoned, r; 5. Contractor's Name Last CASEY First MONTY Lic. No. 8M004 Class C 16 Contractor's Address 1101 KINGSTON DR City LA HABRA State CA OFFICE USE ONLY TYPE OF CONSTRUCTION OCCUPANCY - GROUP Contractor's E-mail Address FI REPROOFMC@GMAT L. COM Zip 90631 J Telephone 714 476_5370 Z'�2o PERMIT NO. IZ� l,Saa PLAN CHECK NO. hove PLAN CHECK FEE $ b 5Z1 7424