HomeMy WebLinkAboutF2022-0056 - Permit Application (3)Owner's E-mail Address
Zip , Telephone
F; 4. Arch itect/Designer's Name Last
Architect/Designer's Address First F Lic. No.
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Floor Suite
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# Units
Use IRESIDENTIAL
Valuation $ Fs4,175.00
# Stories [2
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.:.Print Farrn
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
671 nnir-unrn
Tenant Name
2. Description of Work
fX Fire Sprinkler f— Fire Alarm (; Fire Misc
jINSTALLATION OF RESIDENTIAL FIRE SPRINKLERS
jj
Extg Sq Ft F New/Added Sq Ft
..m............ Total Sq Ft 15,442;
FX_ New I— Add j Alter
Demo
Check Appropriate Box for Applicant/Notification
F3. Owner's Name Last
First ��
Owner's Address
City �``
State I
City � �-'
State ...._...._.......
F 5. Engineer's Name
Lic. No.F_._.__....
Engineer's E-mail Address
Zip Telephone
fX 6. Contractor's Name Last ISHIP
First JAMIE Contractor's Address Lic. �No. 684600Class C-16
705 E. HARRISON STREET 4200 Contractor's E-mail Address
aamieb@fireinc.net
City CORONA
State CA Zip 92879
Telephone 951-272-2522
OFFICE USE ONLY
TYPE OF CONSTRUCTION °�� ✓ - PERMIT NO. �ZO yZ _ oA36
OCCUPANCY - GROUP ! 1� PLAN CHECK NO. 21 ft •Zp2
Z PLAN CHECK FEE $
Architect/Designer's E-mail Address
I
Zip r, TelephoneF '
Last
' First F_�_
Engineer's Address
City
State------------
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