HomeMy WebLinkAboutF2018-0570 - Permit Application11"Worksheet for Fire Permit Application
'fit *0.CitY„` City of Newport Beach - Building Division
Please print 3 copies r—r, i av , D 0_1
Associated Building Permit # (x Fire Sprinkler jW Fire Alarm (—' Fire Misc
1. Project Address (Not mailing address) Floor Suite No
AVENUE, A & B F�,
435 FERNLEAF UNITS (DUPLEX) AS-BUILTTO (F2017-0435)
Tenant Name #Units
!,
2. Description of Work
Use RESIDENTIAL
(n _.._ First',.. Lic. No. Lq%i U
INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS / ,
Architect/Designees E-mail Address
Fio 5 <_; . tAwL17 GS C/V1) S l;
Valuation $ $4,800.00.
Extg Sq Ft �— New/Added Sq Ft _. Total Sq Ft 3,527
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State Zip phone C1j. — 2T2,—Z,jZ2
( 5. Engineer's Name Last First F Lic. No.
# Stories I
FK_ New F_. Add r' Alter r Demo
City I—� _.
Check Appropriate Box for Applicant/Notification
Info •m Minn
[—; 3. Owner's Name Last
First F
Owner's Address
Owner's E-mail Address
City
State I Zip F Telephone
4. Architect/Designer's Name Last
(n _.._ First',.. Lic. No. Lq%i U
Architect/Designer's Address
Architect/Designees E-mail Address
Fio 5 <_; . tAwL17 GS C/V1) S l;
. 2C7C7 1/�Z4 M C
City F
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State Zip phone C1j. — 2T2,—Z,jZ2
( 5. Engineer's Name Last First F Lic. No.
Engineer's Address
Engineer's E-mail Address -
City I—� _.
State r_ Zip F— TelephoneF_
F�ZL6. Contractor's Name Last BISHIP First JAMIE Lic. No. 684600 Class C-16
Contractor's Address
Contractor's E-mail Address
705 E. HARRISON STREET #200
jamieb@fireinc.net
City CORONA
State CA Zip 92879 Telephone 951-272-2522
OFFICE USE ONLY
PERMIT NO. 7 - OP
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
w PLAN CHECK FEE $