HomeMy WebLinkAboutF2019-0481 - Permit ApplicationC�
Worksheet for Fire Permit Application go,
Print ForCity of Newport Beach - Building Division Please print 3 copies
Associated Building Permit# r Fire Sprinkler r Fire Alarm r fireMisc
1. Project Address (Not mailing address)
First
Floor Suite No
1601 Avocado Ave
Owner's E-mail Address
F F
Tenant Name City Of Hope -NDC
# Units
City
State F_ Zip F— Telephoned
2. Description of Work
First1 Lic. No. F
Architect/Designer's Address
Arch itedt/Designer's E-mail Address
Use FB
Relocate appx. ST of existing underground fire line
City -
State F_ Zip [_ Telephone
Valuation $ 40,000.00
Extg Sq Ft �— New/Added Sq Ft �_---_—
Total Sq Ft
Engineer's E-mail Address
# Stories
F- New r Add r Alter r Demo
City
State F_ Zip Telephone
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State F_ Zip F— Telephoned
F_ 4. Architect/Designer's Name Last
First1 Lic. No. F
Architect/Designer's Address
Arch itedt/Designer's E-mail Address
City -
State F_ Zip [_ Telephone
F_ 5. Engineer's Name Last
First — Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip Telephone
FX -6. Contractor's Name Last Rising
First Troy Lic No. 949924
Class C-16
Contractor's Address
Contractor's E-mail Address
13217 Jamboree Rd 464
troy@optimumfireprotection.com
City Tustin
State CA Zip 92782 Telephone714-712-7393
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. `
OCCUPANCY- GROUP
PLAN CHECK FEE $