HomeMy WebLinkAboutF2020-0497 - Permit Application<� npj Fciim� '
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division (� p
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[XI Fire Sprinkler Fire Alarm Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2524 HOLLY LAN
Tenant Name HAMILTON RESIDENCE #Units 177
2. Description of Work
Use
FIRE SPRINKLERS
37 HEADS - --'
----- -
Extg Sq Ft FI New/Added Sq Ft Total Sci Ft
Valuation $ 3700
—..-- -
City State [7777 Zip F— Telephoner
# Stories 2
Ig New r7 Add F-]Alterr Demo
Check Appropriate Box for Applicant/Notification
3. Owner's Name
Last First F777777
Owner's Address
Owner's E-mail Address
City
State F—: Zip F TelephoneF77
r' 4. Architect/Designees
Name Last J First Lic. No.
ArchitectiDesigner's Address
Architect/Designer's E-mail Address
City State [7777 Zip F— Telephoner
5. Engineer's Name
Last FirstF77777 Lic. No.
Engineer's Address
Engineer's E-mail Address
city
i
State -_ �, Zip ! I Telephone
[! 6. Contractor's Name
Last CASEY First MONTY - - Lic. No. 876004 Class C-16
Contractor's Address
Contractor's E-mail Address
1101 KIGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA Zip 90631 Telephone 714-476 5370
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO.�
OCCUPANCY- GROUP
r^ PLAN CHECK FEE $