HomeMy WebLinkAboutF2021-0535 - Permit ApplicationhitP r- Worksheet for Fire Permit A
pplication
City of Newport Beach - Building Division
Please print 3 copies re�(j ,Il I0 ,3 f �j
Associated Building Permit # *oil .3A42., R Fire Sprinkler f—,Fire
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FirevAlarrtm jFire/Misc
1. Project Address (Not mailing address) Floor Suite No
LOT 75 2157 ANDOVER LANE
Tenant Name Units F
2. Description of Work
Use RESIDENTIAL
INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS
---
Extg Sq Ft F—, New/Added Sq Ft �— Total Sq Ft 3.295
Valuation $ $2,208.00
Zip — Telephone
#Stories 13
r New r Add r Alter F Demo
Check Appropriate Box for Applicant/Notification
F__ 3. Owner's Name Last'—
First
Owner's Address
Owner's E-mail Address
City �— _... ., �
State I—
Zip — Telephone
j 4, Architect/Designer's Name Last
First��, Lic. No.�_ —!
Architect/Designees Address
Architect/Designer's E-mail Address
City __.
State--
Zip �! Telephoned
(-' S. Engineer's Name Last
_.. _.
_First F Lic. No. F
Engineer's Address
Engineer's E-mail Address
City _
State
Zip F---.--- Telephone
FX -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
jamieb@fireinc.net
City CORONA
StateCA
Zip 92879 Telephone 951-272-2522
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $