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HomeMy WebLinkAboutF2021-0640 - Permit Application (3)Worksheet for Fire Permit Application °aEWP°tee Print Form 2 _U be fo City of Newport Beach - Building Division `Z Please print 3 copies Associated Building Permit # rX Fire Sprinkler Fire Alarm F Fire Misc 1. Project Address (Not mailing address) 29 OVERLOOK DR Tenant Name IMUMFORD'S RESIDENCE 2. Description of Work FIRE SPRINKLERS 6 HEADS Extg Sq Ft New/Added Sq Ft I Total Sq Ft r New (` Add F_ Alter (" Demo Check Appropriate Box for Applicant/Notification Floor Suite No # Units F Use Valuation $ 600 # Stories F 3. Owner's Name Last First Owner's Address Owner's E-mail Address City State r.,._ Zip �- Telephone F-- 4. Architect/Designer's Name Last First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City �u StateW Zip Telephonel� F� 5. Engineer's Name Last i— First Lic. No. Engineer's Address Engineer's E-mail Address City State �� Zip � Telephoner— Fx 6. Contractor's Name Last CASEY First MONTY Lic. No. 876004 Class C-16 Contractor's Address Contractor's E-mail Address 1101 KINGSTON DR FIREPROOFMC@GMAIL.COM City LA HABARA State CA Zip 90631 Telephone 714-476-5370 OFFICE USE ONLYf�— - , PERMIT NO. TYPE OF CONSTRUCTION ��� © PLAN CHECK NO. OCCUPANCY - GROUP r. PLAN CHECK FEE $