HomeMy WebLinkAboutF2020-0048 - Permit Applicationn r Ali r f F Worksheet for Fire Permit Application of'°
y`?.a �"1 City of Newport Beach - Building Division
Please print 3 copies 7fJ ?rU 00 W G<,FU PPP
Associated Building Permit # rl Fire Sprinkler ❑ Fire Alarm Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2 RUE BIARRITZ rel
- ------ — - - -- - -- --
- -- -- --
!
Tenant Name MANCILLAS RESIDENCE # Units
2. Description of Work
Use j
State Zip F 11 Telephoned
FIRE SPRINKLERS
Name Last J First r Lic. No.
Architect/Designers Address
36 HEAD
City
Valuation $ 3600
-SS--.
,
Extg Sq Ft J New/Added Sq Ft Total Sq Ft
�
---
-Demo
# Stories F27,
[J New [� Add [-; Alter r
6. Contractor's Name
Check Appropriate Box for Applicant/Notification
Infnrn»tinn
3. Owner's Name
Last First
Owner's Address
Owner's E-mail Address
City
State Zip F 11 Telephoned
4. Architect/Designer's
Name Last J First r Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
I
City
f
�', State �i Zip I J Telephoner
5. Engineers Name
LastJ FirstL Lic.No.F
Engineer's Address
Engineer's E-mail Address
City
--- ---
State I Zip I Telephone'!.
6. Contractor's Name
Last CASEY — First _ONTY - - f Lic. No. 876004 -J Class C_t 6 - !1
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.00M
City LA HABRA -
- -', State CA - Zip 90631 — Telephone 714-476-5370
OFFICE USE ONLY b1�_ PERMIT NO. �j V19 X4 �
TYPE OF CONSTRUCTION LA
PPN CHECK Nn
OCCUPANCY- GROUP�"1
wpJ[ PLAN CHECK FEE $