HomeMy WebLinkAboutF2021-0062 - Permit ApplicationWorksheet for Fire Permit Application
fi�nt <=ir131 City of Newport Beach- Building Division
Please print 3 copies V:�?A -A - ajo Z
Associated Building Permit # Fire Sprinklerr Fire Alarm r Fire Misc
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1. Project Address (Not mailing address) Floor Suite No
4704 HAMPDEN RD
Tenant Name MCGEE RESIDENCE # Units
_______---_-
2. Description of Work
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Use 1 U
FIRE SPRINKLERS
27 HEADS
Architect/Designer's Address
-_ --- _ __-F
II
Valuation $ 2700_.__.-_---
Extg Sq Ft New/Added Sq Ft Total Sq Ft
F
rl 5. Engineer's Name Last
- First
--_Lic.No.F—
#Stories t
F- New r Add r Alter ri Demo
City I
Check Appropriate Box for ApplicanVNotification
r 3. Owners Name Last J First �!
Owner's Address
Owners E-mail Address
City
- --
State F— Zip FTelephone—i
r 4. Architect/Designer's Name Last
First F777777 Lic. No. F7—I
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_7 Zip F Telephone—,
rl 5. Engineer's Name Last
- First
--_Lic.No.F—
Engineer's Address
Engineers E-mail Address
City I
State F_:; Zip F7777 Telephone[777777
[j 6. Contractor's Name Last CASEY
First MONTY !; Lic. No. 876004 Class C-16
Contractors Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
- — _
StateCA Zip 90631 Telephone 714 476-5370
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OFFICE USE ONLY
/7
�� • 2d G PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. J
PLAN
OCCUPANCY- GROUP
W
LAN CHECK FEE $