HomeMy WebLinkAboutF2021-0154 - Permit Application5,3 `20:4- 0 d5
r-3 Fxa Worksheet for Fire Permit Application
$ Ft11$ ° IrL u City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # _ �r Fire Sprinkler r', Fire Alarm Fire Misc
1. Project Address (Not mailing address)
2 V Q 3 Q
rL Floor Suite No
2156, 2154, 2152, 2150 ANDOVER LANE UNITS 85-8812
Tenant Name
15
L4
3S # Units F
8
45
2. Description of Work
Use RESIDENTIAL
O
INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS 6 GJ V 7.
--
Valuation$ $14,745.00
Extg Sq Ft New/Added Sq Ft
Total Sq Ft .11,688
V -Z /U
r New F Add 1! Alter j -i Demo
Stories I3
v
Check Appropriate Box for Applicant/Notification
I- 3.Owner's Name Last First F
Owner's Address Owner's E-mail Address
City �— State �� Zip Telephoned
F-1 4. Arch itect/Designer's Name Last First F Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State F Zip -- Telephone j �-
Ix 6. 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 9200 iamieb@fireinc.net
City CORONA State CA Zip 92879 Telephone 951-272-2522
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO. 17Z0-0 -
PLAN CHECK NO.
_� ��
0 PLAN CHECK FEE $