HomeMy WebLinkAboutF2020-0212 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit# I �' rX_, Fire Sprinkler r Fire Alarm r', Fire Misc
1. Project Address (Not mailing address) Floor Suite No
231 VIA LIDO SOLIDF77 F777
Tenant Name COHEN REMODEL # Units
2. Description of Work
City
Use �-
FIRE SPRINKLERS
33 HEADS
Architect/Designees Address
Architect/Designer's E-mail Address
Valuation $ 3300
F_
Extg Sq Ft I New/Added Sq Ft �— Total Sq Ft F�'
----
First[777777 Lic. No.
# Stories 2
F
�' New r, Add r Alter r Demo
city _ II
Check Appropriate Box for Applicant/ Notification
F-'3. Owner's Name Last`
Owner's Address
Owner's E-mail Address
City
State I 7q;— Zip (Telephone
F_ ,rte �y -
F_ 4. Architect/Designer's Name Last
FirstLic. No.—I
Architect/Designees Address
Architect/Designer's E-mail Address
City
State r Zip F77777 Telephoned,
[I S. Engineer's Name Last
First[777777 Lic. No.
Engineer's Address
Engineer's E-mail Address
city _ II
_
Zip Telephone
State r
X16. Contractor's Name Last CASEY
First FW77Lic. No. 876004 ClassC-16 I
Contractor's Address
Contractor's E-mail Address
1101 KINGSTIN DR
- --- -
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY�hh
PERMIT NO.
nn
TYPE OF CONSTRUCTION
x✓'r�' Y14� PLAN CHECK NO.
OCCUPANCY- GROUP
I I PLAN CHECK FEE $
-gtmap I