HomeMy WebLinkAboutF2019-0305 - Permit Application (2)0
Worksheet for Fire Permit Application
Print Form I City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # Fire Sprinkler r Fire Alarm jx- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2920 Newport Blvd r'
Tenant Name Newport Brewing company # Units
2. Description of Work
City
' State I Zip F—', Telephone—
Use r
Install 6 Gallon Ansul system
Extg Sq Ft ( —', New/Added Sq Ft F - I Total Sq Ft r
Valuation $ F500.00
City I
# Stories F
FX", New F_ Add F- Alter F- Demo
Last --` �I, First r .---' Lic. No. F__
Check Appropriate Box for Applicant/Notification
I nf�rm�ii�n
r 3. Owner's Name
-
Last First
Owner's Address
Owner's E-mail Address
City
' State I Zip F—', Telephone—
F- 4. Architect/Designer's
Name Last Firstf --' Lic. No. r
Architect/Designer's Address
Architect/Designer's E-mail Address
City I
State �— Zip F TelephoneF -'
F_ 5. Engineer's Name
Last --` �I, First r .---' Lic. No. F__
Engineer's Address
Engineer's E-mail Address
City r---
State r--', Zip F_ Telephone—
rx- 6. Contractor's Name
Last Hedrick First Richard Lic. No. 925132 Class 10,16
Contractor's Address
Contractor's E-mail Address
13309 Central Ave
Richard@hed,ricktireprotection.com
City Chino
State CA Zip 91710 ,Telephone 9096130083
OFFICE USE ONLY
PERMIT NO. 3O
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $