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HomeMy WebLinkAboutF2022-0286 - Permit ApplicationPrint Form Worksheet for Fire Permit Application City of Newport Beach - Building Division Please print 3 copies Associated Building Permit # r Fire Sprinkler r Fire Alarm r Fire Misc 1. Project Address (Not mailing address) 921 ALDER PL Tenant Name IJONES RESIDENCE 2. Description of Work FIRE SPRINKLERS 38 HEADS Extg Sq Ft F New/Added Sq Ft F— Total Sq Ft IX New j— Add F Alter F_ �rrccn mfipropnaie tsox Tor Applicanvivotitication Floor Suite No # Units F Use Valuation $ 3800 # Stories 2 F 3. Owner's Name Last F— First F— Owner's Address Owner's E-mail Address City State �— Zip F— Telephones 1 4. Arch itect/Desi ner's Name Last g I — I Lic. No. I Architect/Designer's Address Architect/Designer's E-mail Address City I— State �— Zip I TelephoneF_ f 5. Engineer's Name Last First [_ Lic. No. F_ Engineer's Address Engineer's E-mail Address city State F Zip � Telephoned fX 6. Contractor's Name Last ICASEY First MONTY Lic. No. 876004 Class C-16 Contractor's Address Contractor's E-mail Address 1101 KINGSTON DR FIREPROOFMC@GMAIL.COM City LA HABARA State ICA Zip 90631 Telephone 714-476-5370 OFFICE USE ONLY PERMIT NO. F Zo2Z- d r-06 TYPE OF CONSTRUCTION PLAN CHECK NO. 144S- ?02Z OCCUPANCY - GROUP pZ621 _p29 PLAN CHECK FEE $ 0 419.2621 /X7021- 089$ (a d/a If