HomeMy WebLinkAboutF2022-0050 - Permit ApplicationPrint Form Worksheet for Fire Permit Application W�
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City of Newport Beach - Building Division
Please print 3 copies ,�Fpp ,.
Associated Building Permit # �— FX- Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) NO Floor Suite No
1602 IRIS
Run
Tenant Name WOLVERTON DUPLEX ! Ire v h �I # Units �—
rVfr/
2. Description of Work .q �/
27::
Use
vValuation $ 5,100
New/Added SqTotal Sq Ft �-
r New F Add r Alter r Demo # Stories %f41
Check Appropriate Box for ApplicanVNotification
r 3. Owner's Name Last
First F—
Owner's Address
Owner's E-mail Address
City
State F_ Zip F— Telephoned—
F 4. Architect/Designer's Name
---
Last First �— Lic. Nof
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip F TelephoneF—
r_ 5. Engineer's Name Last
First F— Lic. No. F_
Engineers Address
Engineer's E-mail Address
City
State F_ Zip F_ TelephoneF_
IX 6. Contractor's Name Last CASEY First MONTY Lic. No. 876004 Class C-16
Contractors Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City [LA HABARA
Statej ICA Zip g0631 Telephone 714-476-5370
OFFICE USE ONLY
TYPE OF CONSTRUCTION
I ) / PERMIT NO. /
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- GROUP
PLAN CHECK NO.00CUPANCY
� _,V0 PLAN CHECK FEE
Mcl
$