HomeMy WebLinkAboutF2020-0263 - Permit ApplicationEW
Worksheet for Fire Permit Appliu;;ntion o M o
Prurt Farm U W City of Newpoet Beach - Building Division o
please print 3 copies U C(A'tA/(�
Associated Building permit# to) - FK Fire Sprinkler r ri Alarm j— fire Misc
1. Project Address (Not mailing address) @r Floor Suite No
710 W.Oceanfront �.� GHQ
1
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Tenant Name derson ��6aG t Units
2. Description of Work
nstall new fire sprinkler system, 29 heads Use esidential
_ Valuation $ 000
Extg Sq Ft F— New/Added Sq Ft F—TotalSq Ft i100
4 Stories F
DC New (— Add 1` Aker r Demo
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City f —
State F Zip F Telaphone
r 4. Architect/Designer's Name
Last Fttst r Lic. No. I T
Architect/Designer's Address
Arrhitect/De>igner'sf-mail Address
F
city ( �
Slate ry� L"No TiaephoneF
F S. Engineer's Name Last
r or -First F Uc. No. F—
Engineer's Address
Engineer's E-mail Address
--
City
I
State �— Zip TeiephoneF'
F 6. Contractor's Name Last Isirignano
First Faith — Lic No: 15588 Class 16
Contractor's Address
Contractor's iE-mail Address
2672 Lambert St. #619
eith.allstar I (g;gmnil.com
city Pike Forest
Slate Fa Zip P2630 Telephone 95212460
OFFICE USE ONLY
ps'��y Zp PERMIT NO. I bV
TYPE OF CONSTRUCTION
PLAN CHECK NO- !e��
OCCUPANCY - GROUP
PL7.N CHECK FEE $
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