HomeMy WebLinkAboutF2022-0246 - Permit ApplicationWorksheet for Fire Permit A pPlicatlion WP
Print Form °�%� o�
City of Newport Beach - Building Division
Please print 3 copies q<«
Associated Building Permit # X Fire Sprinkler F_ Fire Alarm Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2131, 2133, 2135, 2137 CRESTA DRIVE UNITS 37-40
Tenant Name
# Units F
2. Description of Work
Use RESIDENTIAL
[INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS
_. ..�.....�. Valuation $ $14,745.00
Extg Sq Ft F New/Added Sq Ft .Total Sq Ft 11,688 ',
#Stories
New F Add F Alter Demo 1 [3
Check Appropriate Box for Applicant/Notification
f— 3. Owner's Name Last F
First
Owner's Address
Owner's E-mail Address
City State
Zip '' Telephoned
4. Architect/Designer's Name Last First Lic. No.
.. . . .. ............
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
F_
Zip Telephone___
r- 5. Engineer's Name Last
--- Lic. No
First F
Engineer's Address
Engineer's E-mail Address
City State
Zip F�—Telephone
X 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 State
CA
Zip 92879 Telephone 951-272-2522
OFFICE USE ONLY
PERMIT NO. �Z�ZZ C7Z�(6
OF
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TYPE CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $