HomeMy WebLinkAboutF2020-0253 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address
8 TORREY PINES
Worksheet for Fire Permit Application
n - Rid Winn nivision City of Newport Beac a
r Fire Sprinkler r Fire Alarm r Fire Misc
mailing address)
Tenant Name (PRIVATE RESIDENCE
2. Description of Work
FIRE SPRINKLERS
73 HEADS
Extg Sq Ft— New/Added Sq Ft
r New F- Add r Alter F_ Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F—
Use
Valuation $ 7300
Total Sq Ft
# Stories I
F 3. Owner's Name Last
—
FirstI
Owner's Address
Owner's E-mail Address
City I
State F— Zip i - Telephone
F 4. Architect/Designer's Name Last
First F Lic. No.I
Architect/Designees Address
ArchitecNDesigner's E-mail Address
City �
State F Zip F Telephoned
F 5. Engineer's Name Last
First F— Lic No.
Engineer's Address
Engineer's E-mail Address
City
State F Zip F_ Telephoned
r 6. Contractor's Name Last CASEY
First MONTY Lic No. 876004 Class C-16
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA Zip 9F0631 Telephone 714-476-5370
OFFICE USE ONLY
t,�# 1dad ' C 04, PERMIT NO.
TYPE OF CONSTRUCTIONaO,
al' 1 `O PLAN CHECK NO. �#
OCCUPANCY - GROUP
�' �Y�+�'if`" PLAN CHECK FEE $