HomeMy WebLinkAboutF2020-0274 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application um
City of Newport Beach - Building Division
r Fire Sprinkler r Fire Alarm (- Fire Misc
1. Project Address (Not mailing address)
Floor Suite No
444 VIA LIDO NORD
Tenant Name ALVAREZ RESIDENCE
# Units �-
2. Description of Work
Use
FIRE SPRINKLERS
30 HEADS
3 j,��G
s6A
��
P Valuation $ 3,000
Extg Sq Ft F- New/Added Sq Ft F--
Total Sq Ft
S GIN
�
# Stories I`
r New r Add r Alter � Demo
Check Appropriate Box for Applicant/Notification
Infnrmniinn
F_ 3. Owner's Name
Last First
Owner's Address
Owner's E-mail Address
City
State F_ Zip F_ Telephoned
r 4. Architect/Designer's
Name Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State r Zip F— Telephoned
r 5. Engineer's Name
Last First F Lic. No.
Engineer's Address
Engineers E-mail Address
City
State F Zip �— TelephoneFa
FX 6. Contractor's Name
Last CASEY First MONTY Lic. No. 876004
Class C-16
Contractor's Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City ILA HABRA
State CA Zip 90631 Telephone714-476-5370
OFFICE USE ONLY
e� ✓ `' " ' . V 2 PERMIT NO.
TYPE OF CONSTRUCTION 0^ .5 � u 1� PLAN CHECK Nn I
`
OCCUPANCY - GROUP
PLAN CHECK FEE $
YA
tiVV-7v yr U_L. �0vL--