HomeMy WebLinkAboutF2021-0034 - Permit ApplicationntEbrrh`.r ` Worksheet for Fire Permit Application
City of Newport Beach - Building Division
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isociated Building Permit # rl Fire Sprinkler iFNAiarm r Fire Misc
1. Project Address (Not mailing address)
1416 E.BALBOA BLVD
Tenant Name NIJJAR RESIDENCE
2. Description of Work
SPRINKLERS - 32 HEADS
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft
[j New n Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
F_ F77
# Units
Valuation $ 3200
#Stories _II
(] 3.Owner's Name Last
First
Owner's Address
Owner's E-mail Address
I
City
-
i
StateZip Telephone''
F_
r 4. Architect/Designer's Name
Last , First F77777 Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
i
City
State —!, Zip F Telephoned
F_ S. Engineer's Name Last
First —'
Lic. No. F777
Engineer's Address
Engineer's E-mail Address
City
— - — --- - - — -
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State Zip Telephone
r6. Contractor's Name Last CASEY First MONTY Lic. No. 876004 Class C-16 J
— - ---�
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
- StateCA - Zip 90631 - Telephone 714-476-5370
OFFICE USE ONLYn
' C PERMIT NO. ` w
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TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
�� 11� PLAN CHECK FEE $