HomeMy WebLinkAboutF2020-0435 - Permit Applicationyrmc rorm ; 1 City of Newport Beach - Building Division W ��-o43S
Please print 3 copies �L3 SI �YIG(� �
Associated Building Permit # r, Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
523 SIGNAL RD——;
Tenant Name VALENTINE RESIDENCE # Units F
2. Description of Work
Use �-
FIRE SPRINKLERS
34 HEADS
Extg Sq Ft F— New/Added Sq Ft F_Total Sq Ft r -
Valuation $ 3400
# Stories
r New Add F Alter F- Demo
1
Check Appropriate Box for Applicant/Notification
3. Owner's Name Last I First I
Owner's Address Owner's E-mail Address
City � State F_ Zip �—', Telephone,
r 4. Architect/Designees Name Last First F_ Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City � State I Zip F— Telephoned
CI 5. Engineer's Name Last First Lic. No.
Engineer's Address Engineer's E-mail Address
City � State �— zip[--- TelephoneF_
19'6. Contractor's Name Last CASEY First MONTY Lic. No. 876004 Class C-16
F
Address
11 KINGSTON DR
A HABRA
ONLY
WRUCTION
GROUP
_ Contractor's E-mail Address
FIREPROOFMC@GMAIL.COM
State CA Zip 90631 Telephone 714-476-5370
XW ''s
PERMIT NO. t
PLAN CHECK NO.
PLAN CHECK FEE $