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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
100 MacArthur Blvd.
Tenant Name Craig Realty
2. Description of Work
Fire SprinklerTl (51) heads
r Fire Sprinkler r Fire Alarm r Fire Misc
Extg Sq Ft 256 New/Added Sq Ft �— Total Sq Ft
r New j— Add rX— Alter r Demo
Check Appropriate Box for Applicant/Notification
U
Floor Suite No
1 st 150
# Units
Use B
Valuation $ 13,650.00
# Stories F
r 3. Owner's Name
Last � First
Owner's Address
Owner's E-mail Address
City
State Zip F Telephone
r 4. Architect/Designer's
Name Last Firsts Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State Zip I Telephone
I— 5. Engineer's Name
Last -- First F Lic No.I
Engineer's Address
Engineer's E-mail Address
City �
State F_ Zip Telephone—
r 6. Contractor's Name
Last aekel First Steve Lic. No. 599761 Class C36,10,16
Contractor's Address
Contractors E-mail Address
1170 E. Fruit Street
jaekel@firesafetyfirst.com
City (Santa Ana
State CA Zip 92701 Telephone 714-329-7110
OFFICE USE ONLY
PERMIT NO. fV74. 0I0
2 (mot
TYPE OF CONSTRUCTION CiJ `
PLAN CHECK NO.
OCCUPANCY - GROUP
yD PLAN CHECK FEE $