HomeMy WebLinkAboutF2019-0065 - Permit ApplicationF i,01 C1-00&ib
.Print Form
Please print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
(X', Fire Sprinkler j- Fire Alarm j Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2800 BAYVIEW DR
- ---_ --- . -- - - -F77 F777
Tenant Name BOGNER RESIDENCE # Units F77
2. Description of Work
Owner's E-mail Address
FIRE SPRINKLERS 4 HEADS
Use y
—
State Zip TelephoneF
-j\�y
Extg Sq Ft F-- New/Added Sq Ft Ir —Total Sq Ft �---`�
Valuation $ 400.00
F-1 New r Add r Alter F- Demo
# Stories
--
ArchitectlDesigner's E-mail Address
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
—
State Zip TelephoneF
r 4. ArchitectlDesigner's Name Last
First, Lic. No.
I
!
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
City
State Zip F Telephone
F_, Engineer's Name Last �—
First F77777 Lic. No.
Engineer's Address
Engineer's E-mail Address
City �— -
State Zip �- Telephone
F7777—
r76. Contractor's Name Last CASEY
First MONTY Lic. No. 876004 Class C-16
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA Zip 90631 Telephone 714 476-5370
OFFICE USE ONLY
-- Zrrly PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. 0
OCCUPANCY- GROUP
` J PLAN CHECK FEE $
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