HomeMy WebLinkAboutF2020-0054 - Permit ApplicationWorksheet for Fire Permit Application
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ity of Newport Beach - Building Division
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Associated Building Permit # j Fire Sprinkler ❑' Fire Alarm ❑ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
111 VIA LIDO SOLID
Tenant NameJOUET RESIDENCE # Units
2. Description of Work
Use
Owner's E-mail Address
FIRE SPRINKLERS
-I
State �—
43 HEADS
Valuation $ 4300
FirstJ Lic. No.
Extg Sq Ft �� New/Added Sq Ft � Total Sq Ft F
--
Architect/Designer's E-mail Address
# Stories 2
iK New Add ❑ Alter ❑Demo
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Zip Telephone
Check Appropriate Box for Applicant/Notification
❑, 3. Owner's NameLast
First
Owner's Address
"
Owner's E-mail Address
City
— --
-I
State �—
I
Zip Telephoned
❑ 4. Architect/Designer's Name Last
FirstJ Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
— -----
City — —
- --
State
7
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Zip Telephone
❑ 5. Engineers Name Last
j First J Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F
Zip [777777 Telephoned'
❑ 6. Contractor's Name Last CASEY
First MONTY , Lic. No. 876004JClass C-16
F
Contractor's Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA -
Zip 90631 Telephone7144765370
OFFICE USE ONLY
PERMIT NO. VjVW •
TYPE OF CONSTRUCTION
CHECK NO. e •
OCCUPANCY- GROUP
PPLAN
LAN CHECK FEE $
VVIor )� 1a Q$1