HomeMy WebLinkAboutF2020-0047 - Permit Application (2)Print Form
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Associated Building Permit #
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10 VIA LIDO ND 0 DR
Worksheet for Fire Permit Application
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City of Newport Beach - Building Division
(X Fire Sprinkler F Fire Alarm F Fire Misc
mailing address)
Tenant Name IMILLER RESIDENCE
2. Description of Work
FIRE SPRINKLERS
31 HEADS
Extg Sq Ft �— New/Added Sq Ft
(X New F Add F Alter
F Demo
Check Appropriate Box for Applicant/Notification
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i 3. Owner's Name Last
Owner's Address
Floor Suite No
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# Units F
Use
Total Sq Ft �— Valuation $ 3100
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First 1
Owner's E-mail Address
City
State F— Zip
Telephone7`
f 4. Architect/Designer's Name Last
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Architect/Designer's Address First Lic. No.
Architect/ Designer's E-mail Address
City
State F_Zip F--- Telephoned
r 5. Engineer's Name
Last --------
First
Engineer's Address
Lic. No.
Engineer's E-mail Address
City
State F_ Zip Telephone
FX 6. Contractor's Name
Last CASEY First MONTY Lic. No. 876004
Contractor's Address
Class C-16
1101 KINGSTON DR
Contractor's E-mail Address
FIREPROOFMC@GMAIL.COM
City LA HABARA
State CA Zip 90631 Telephone 714-476-5370
OFFICE USE ONLYjo
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TYPE OF CONSTRUCTION
}/ C PERMIT NO. q
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(q' PLAN CHECK L r '-
OCCUPANCY - GROUP
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PLAN CHECK FEE $ —___