HomeMy WebLinkAboutF2020-0418 - Permit ApplicationEM Worksheet for Fire Permit Application `�"r
City of Newport Beach Building Division pylr
Fto Please print 3 copies �<,Fo„���
Associated Building Permit # r Fire Sprinkler F– Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
LOT 67 2167 ANDOVER LANE ! r—. l yl
Tenant Name # Units F
2. Description of Work
Use RESIDENTIAL
INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS
Extg Sq Ft F— New/Added Sq Ft F Total Sq Ft 3,295
Valuation $ 2,208.00
# Stories 1
r> New (–!, Add r Alter (– Demo
Check Appropriate Box for Applicant/Notification
F– 3. Owner's Name Last First i
Owner's Address Owner's E-mail Address
City State r— Zip F Telephoned
r 4. Arch itect/Designer's Name Last I VU 11 pka First Ckriesp Lic. No.
City . _ _ State � Zip r---..-.-.. Telephone—
fx; 6. Contractor's Name Last BISHIP ----�, FirstJAMIE 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
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $