HomeMy WebLinkAboutF2021-0155 - Permit ApplicationF202j , ,o
Worksheet for Fire Permit Application
City of Newport Beach - Building Division �
Please pprintint 3 copies 3-�a � �'
Associated Building Permit #�7 Q cif . _ `Z�C C)r Fire Sprinkler F_ Fire Alarm (! Fire Misc
Check Appropriate Box for Applicant/Notification
[ 3. Owner's Name LastFirst �W
Owner's Address Owners E-mail Address
............._
City __
� _. � 1 1 State F_ Zip TelephoneF_
4. Architect/Designer's Name Last �, First F_ Lic. No.
Architect/Designees Address Architect/Designers E-mail Address
City I— State �,' Zip Telephone-- -
(- 5. Engineer's Name Last First— Lic. No.F _
Engineer's Address Engineer's E-mail Address
City State Zip r --_-'--.•.Y. Telephone��
(X 6. Contractor's Name Last BISHIP First JAMIE, Lic. No. 684600 Class C-16
Contractor's Address Contractor's E-mail Address
11 705 E. HARRISON STREET #200 iamieb@fireinc.net
City CORONA State CA Zip 92879 Telephone 951-272-2522
OFFICE USE ONLY
TYPE OF CONSTRUCTION
PERMIT NO.
PLAN CHECK NO. 90661-
OCCUPANCY
0891-
OCCUPANCY - GROUP PLAN CHECK FEE $
1 Project Address (Not mailing address) lz Floor Suite No
2140, 2142, 2144, 2146 ANDOVER LANE UNITS 81-84 ah
Tenant Name $ #Units
2. Description of Work ti
Use RESIDENTIAL
INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS ,� GJ D
C
IX�np 1 Y
Extg Sq Ft F_ New/Added Sq Ft Total Sq 1 688
Valuation $ $14,745.00
fff #Stories 3
rl New r Add r Alter r; Demo
Check Appropriate Box for Applicant/Notification
[ 3. Owner's Name LastFirst �W
Owner's Address Owners E-mail Address
............._
City __
� _. � 1 1 State F_ Zip TelephoneF_
4. Architect/Designer's Name Last �, First F_ Lic. No.
Architect/Designees Address Architect/Designers E-mail Address
City I— State �,' Zip Telephone-- -
(- 5. Engineer's Name Last First— Lic. No.F _
Engineer's Address Engineer's E-mail Address
City State Zip r --_-'--.•.Y. Telephone��
(X 6. Contractor's Name Last BISHIP First JAMIE, Lic. No. 684600 Class C-16
Contractor's Address Contractor's E-mail Address
11 705 E. HARRISON STREET #200 iamieb@fireinc.net
City CORONA State CA Zip 92879 Telephone 951-272-2522
OFFICE USE ONLY
TYPE OF CONSTRUCTION
PERMIT NO.
PLAN CHECK NO. 90661-
OCCUPANCY
0891-
OCCUPANCY - GROUP PLAN CHECK FEE $