HomeMy WebLinkAboutF2020-0254 - Permit ApplicationPrint Form ! "-
City of Newport Beach - Building Division
Please print 3 copies �/� yV i 4- V� v M I(t& O
Associated Building Permit # I— r, Fire Sprinkler F_ Fire Alarm j— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
7037031/2 JASMINE AVE �—
NO CON & nrcs
Tenant Name SZIGETI RESIDENCDIE 11Cis�7i CkU
Owner's E-mail Address
2. Description of Work
State ! Zip F— Telephoned—,
FIRE SPRINKLERS rU%A
A e �-
45 HEADS
Architect/Designers E-mail Address
Extg Sq Ft F New/Added Sq Ft F_Total Sq Ft F_ Total
Valuation $ 4500
-
r 6. Engineer's Name Last
#Stories -
r New r Add r Alter r Demo
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Check Appropriate Box for Applicant/Notification
3.Owner's Name Last
�— First F
Owner's Address
Owner's E-mail Address
City
State ! Zip F— Telephoned—,
j— 4. Architect/Designees Name
Last First Lic. No. �—
Architect/Designer's Address
Architect/Designers E-mail Address
City �
State F_ Zip F_ Telephone—
r 6. Engineer's Name Last
First—' Lic. No.
Engineer's Address
Engineer's E-mail Address
City �
State �_ Zip Telephoned—'
r,, 6. Contractor's Name Last (CASEY FirstMONTY Lic. No. 876004 Class &16
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA Zip 90631 __ Telephone 714-476-5370
OFFICE USE ONLY
PERMIT NO. •
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY -GROUP
2+u.i r I / PLAN CHECK FEE $
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