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HomeMy WebLinkAboutF2023-0434 - Permit ApplicationWorksheet for Fire Permit Application p4 �EWvpRTe Print Form City of Newport Beach - Building Division Please print 3 copies Associated Building Permit # r Fire Sprinkler F_ Fire Alarm r Fire Misc 1. Project Address (Not mailing address) 125 E BAY AVE Tenant Name IDIGIMARINO RESIDENCE 2. Description of Work FIRE SPRINKLERS 18 HEADS Extg Sq Ft F New/Added Sq Ft F_ Total Sq Ft New F_ Add F Alter r Demo Check Appropriate Box for Applicant/Notification Floor Suite No # Units Use Valuation $ 1800 # Stories I - r 3.Owner's Name Last First Owners Address Owner's E-mail Address City State F___ Zip I— Telephone— r 4. Architect/Designer's Name Last First Lic. No. �— Architect/Designer's Address Architect/Designer's E-mail Address City F_ State F_ Zip F_ Telephonel— F_ 5. Engineer's Name Last First F_— Lic. No. F__ Engineer's Address Engineer's E-mail Address City � State F_ Zip I Telephone- r 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 ONLY PERMIT NO. TYPE OF CONSTRUCTION • PLAN CHECK NO. OCCUPANCY - GROUP (", D PLAN CHECK FEE $ !L