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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
1901 SABRINA TERRACE
Tenant Name PARKER RESIDENCE
2. Description of Work
FIRE SPRINKLERS
36 HEADS
(K Fire Sprinkler r Fire Alarm r Fire Misc
Extg Sq Ft 7— New/Added Sq Ft F Total Sq Ft
r New r Add F- Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
Use
Valuation $ 3,600
# Stories
r 3.Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City I
State F— Zip F— Telephoned
r 4. ArchitecUDesigner's Name
Last First I— Lic. No.
Architect/Designers Address
Architect/Designers E-mail Address
City
State F— Zip [— Telephoned
F- 6. Engineer's Name Last
First Lic. No.
�-
Engineer's Address
Engineer's E-mail Address
City
State F— Zip I— Telephoned
r 6. Contractors 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 HABRA
State CA Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
� � j �l (� 4 PERMIT NO. E ZOZO' 0076
TYPE OF CONSTRUCTION
/ PLAN CHECK NO. J.22-31,
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OCCUPANCY - GROUP
e/'�l' PLAN CHECK FEE $