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HomeMy WebLinkAboutF2020-0421 - Permit ApplicationWorksheet for Fire Permit Application e��PoR fiFt ' City of Newport Beach - Building Division o z Please print 3 copied —C4 z Associated Building Permit # fX Fire Sprinkler rFire Alarm r' Fire Misc 1. Project Address (Not mailing address) LOT 65 2173 ANDOVER LANE Tenant Name 2. Description of Work OF RESIDENTIAL FIRE SPRINKLERS 3 a Extg Sq Ft —i New/Added Sq Ft Total Sq Ft 2,916 jx New r, Add r Alter r Demo Check Appropriate Box for Applicant/Notification Floor j Suite No # Units Use RESIDENTIAL Valuation $ 1,895.00 # Stories I r)K 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 #200 lamieb@firemc.net City CORONA State CA Zip 92879 Telephone 951-272-2522 OFFICE USE ONLY TYPE OF CONSTRUCTION PERMIT NO. PLAN CHECK NO. OCCUPANCY - GROUP PLAN CHECK FEE $