HomeMy WebLinkAboutF2019-0362 - Permit ApplicationPflnt
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application F.201q,o36,�U51,City of Newport Beach - Building Division
Fire Sprinkler FJ- Fire Alarm F- Fire Misc
9. Project: Address divot mailing address)
1�115-15 MackthurCourt
Tenant Name Ready Now
2. 'Description of Work
7 Concealed Sprinkler Head
Extg Sq Ft IF— New/Added S9 Ft IF -total Sq Ft
F New F Add II- Alter r- !Demo
Check Appropriate Sox frr Applica ill/Notiricarion
IF- 3. ownses Name Last First 11
Owner's Address Owner's E-mail Address
Floor
Suite No
04
1475
# Units
i I—
Use
valuation $ I7050
# StoriAs F
City State Zip �— T.e'lephone�
F 4. ArchitectiDesignees Name LartF First— Uc.No.�-
Architect/Designei's Address AmirteWDesignefs Eanail Address
City ,Stale II Zip F— Telephone
F S. Engineer's Name Last— First— licNo.F
— -
Engineer's Address Englineer's Email Address
1111
City S3ate \-- Zip Imo-
� T�ekephonell—
6. Contractor's Name LastSavoy FirstAustin Ur- No. 164375 Class C7b
\Arartor's Address Contractors Email Address
\E- Mhaloma Avenue losavoy@fireprotectlonspeckalists.com
laheim Slate Ca Zip F92806 Telephone7U-&35-6566
-ONLY
')NST0UCTiON
' - GROUP
PERMIT NO. V
PIAN CHECK WO.
PIAN CHECK FEE