HomeMy WebLinkAboutF2019-0637 - Permit ApplicationWorksheet for Fire Permit Application Uaw
��3City of Newport Beach -Building DivisionPlease print 3 copies
Associated Building Permit # F r Fire Sprinkler I— Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2101 DOVE ST F r
Tenant Name JAGUAR LAND ROVER # Units F
2. Description of Work
City
State Zip F Telephoned
Use
(T.1.25 HEADS) ADDITION & RELOCATION OF FIRE SPRINKLER DROPS FOR NEW WALL &
CEILING LAYOUT
Architect/Designer's E-mail Address
Extg Sq Ft F_New/Added Sq Ft �—, Total Sq Ft F'.
Valuation $ 8785
F_ 5. Engineer's Name Last
# Stories
F_ New r Add r Alter F Demo
Engineer's E-mail Address
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last
�— First
Owner's Address
Owner's E-mail Address
City
State Zip F Telephoned
F_ 4. Architect/Designer's Name
Last �— First �— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip [ Telephone
F_ 5. Engineer's Name Last
First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F— Zip Telephone
FT 6. Contractor's Name Last A&D FIRE SPRINKLERS First(JR TOPINIO) Lic. No. 902053 ClassC16
Contractor's Address
Contractor's E-mail Address
1601 W ORANGEWOOD AVE
WTOPINIO@ADFIRESPRINKLERS.COM
City ORANGE
State CA Zip 92868 Telephone 714-634-3923
OFFICE USE ONLY
(@�% - �� PERMIT NO. /i� /',J �•
TYPE OF CONSTRUCTION
24
' ` PLAN CHECK NO. "�
OCCUPANCY- GROUP
PLAN CHECK FEE $