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Associated Building Permit
Worksheet for Fire Permit Application
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City of Newport Beach - Building Division (�
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Fire Sprinkler F Fire Alarm F Fire Misc
1. Project Address (Not mailing address)
709 MARIGOLD AVE
Tenant Name RAVERA RESIDENCE UNIT A & B
2. Description of Work
FIRE SPRINKLERS
40 HEADS
Extg Sq Ft F—
New/Added Sq Ft F —
Total Sq Ft
R New F Add F Alter
r Demo
Check Appropriate Box for Applicant/Notification
Inf........a:_
F 3. Owner's Name Last F 'V,^r----------------
First �.
Owner's Address
Owner's E-mail Address
Floor
( Suite No —
I
# Units
r
Use
Valuation $ 4000
# Stories I3
City I State I — —
Zip F— Telephoner—
F 4. Architect/Designer's Name Last
First �— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F Zip [, TelephoneF�
F 5. Engineer's Name Last
First f-------
Engineers Address�—
Engineer's E-mail Address
City State �— �—
I Zip I TelephoneF�
IR 6. Contractor's Name Last CASEY
First IMONTY Lic. No. r876004
Contractor's Address
I 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 ONLY 2-1. d3�q PERMIT NO.
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP Yit n (A .ILn+C,,� PLAN CHECK NO.
'\W 1 '`{l✓V,Q�/ PLAN CHECK FEE $