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Home My WebLink AboutF2019-0441 - Permit Applicationrjr:rid` o Worksheet for Fire Permit Application EWPoQ> . Rt Form: �< City of Newport Beach - Building Division z U Please print 3 copies (VI�fOM1t�.� Associated Building Permit # �', Fire Sprinkler r Fire Alarm r, Fire Misc 1. Project Address (Not mailing address) Floor Suite No 422 ORCHID j Tenant Name `# Units I 2. Description of Work Owner's E-mail Address Use INSTALLATION OF 29 FIRE SPRINKLERS F,_ 4. Architect/Designer's Extg Sq Ft New/Added Sq Ft —i Total Sq Ft F— Valuation $ 12_,900 Newf Add � Alter rl Demo #Stories F Check Appropriate Box for Applicant/Notification F_' Owner's Name Last First—, Owner's Address Owner's E-mail Address City — State �— ZipTelephone -- F,_ 4. Architect/Designer's Name Last First �! Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City StateZipZip �— Telephoned—', r 5. Engineer's Name Last - First F7 Lic. No. Engineer's Address Engineer's E-mail Address City State F— Zips Telephoned— [; 6. Contractor's Name Last CASEY First MONTY Lic No. 876004 Class C-16 Contractor's Address Contractor's E-mail Address 1101 KINGSTON DRIVE fireproofmc@gmail.com City LA HABRA State CA Zip 90631 Tele hone 714 476 5370_ OFFICE USE ONLY PERMIT NO. D ©I TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP PLAN CHECK FEE $ 1 Omlk-01, -I 13gd'