HomeMy WebLinkAboutF2019-0305 - Permit ApplicationWorksheet for Fire Permit Application,
NEWPoRr
City of Newport Beach - Building Division
corocM..
riding Permit # ( r Fire Sprinkler r Fire Alarm
(K Fire Mist:
,act Address (Not mailing address) Floor Suite No
:'Newport Blvd
/fenant Name INewport Brewing company # Units
2. Description of Work
Install 6 Gallon Ansul system Use r�'
Ext S Ft r-- — Valuation $ 500.00
9 9 NewlAdded Sq Ft r,----- Total Sq Ft
FX New F_ Add ( Alter r Demo # Stories
Check Appropriate Box for Applicant/Notification
3. Owner's Name Last
First r----'
Owner's Address
Owner's E-mail Address
City [
[-__' Telephone—
State [—_ Zip
f- 4. Architect/Designer's Name
Last F---- ' First r_---- Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City FS
tate F Zip [— Telephoner—
r- 5. Engineer's Name Last r_.—_
���! First F— — ---
Lic, No. r' --
Engineer's Address
Engineer's E-mail Address
City
State I�._—' Zip F—�,' Telephoner__
.
I
X
Fi 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@hedrickfireprotection.com
City Chino
State CA Zi 91710
P elephone 9096130083
-T
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $