HomeMy WebLinkAboutF2020-0133 - Permit ApplicationPrirlt dorm:::'.
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
[: Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
209 VIA MENTONE
Tenant Name
2. Description of Work
INSTALLATION OF A RESIDENTIAL FIRE SPRINKLER SYSTEM 31 HEADS
Exfg Sq FtI New/Added Sq Ft F—! Total Sq Ft
FX_ New [-! Add r Alter f- Demo
_..--..-rr•�r ,-• a..vn wr hppnVanurvoirrrcauon
Floor �Suite No
# Units
Use
Valuation $ 3,500 -
# Stories 2 Jj
r 3. Owner's Name Last CEFALIA — First F —
Owner's Address Owner's E-mail Address
i
City - - State ZIP Telephone��
r 4. Architect/Designer's Name
Architect/Designer's Address
Last —_ First
City — State
Architect/Designer's E-mail Address
ZIP Telephone
Lic. No.
r 6. Engineer's Name Last I First F Lic. No.
Engineer's Address Engineer's E-mail Address
I
City State — Zip F—Telephone—I
F7 6. Contractor's Name Last CASEY First rM�ONTY Lic. No. 876004 Class C-76
-- -- --
Contractor's Address Contractor's E-mail Address
1101 KINGSTON DRIVE fireproofmc@gmail.com
City LA HABRA State CA Zip g0631 ! Tele hone 714 476 5370
- - --- -- - - -- --- - P ( -) ---
OFFICE USE ONLY PERMIT NO. — f U 2 6 O 1$3
TYPE OF CONSTRUCTION PLAN CHECK NO. CU5c,,S •tea
OCCUPANCY- GROUP LJ ,01WO PLAN CHECK FEE $