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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
(X Fire Sprinkler F_ Fire Alarm [_ Fire Misc
1. Project Address (Not mailing address)
2206 ARALIA
Tenant Name SHAW RESIDENCE jLQ rvt�,
2. Description of Work
FIRE SPRINKLERS
37 HEADS
Extg Sq Ft �— New/Added Sq Ft �—
New r Add F— Alter j— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units I
Use
Valuation $ 3,700
Total Sq Ft �—
# Stories 1
F 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State �
Zip F_ Telephone(---
F 4. Architect/Designer's Name
Last
Firstf _� Lic. No. F_
Architect/Designer's Address
Architect/Designees E-mail Address
City �—
State �—
Zip F_ Telephoner—
F 5. Engineer's Name Last
�—
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State
Zip Telephoner
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 CA
Zip 190631 Telephone 714�76--5O53__70
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO�C�
OCCUPANCY - GROUP
PLAN CHECK FEE $