HomeMy WebLinkAboutF2021-0110 - Permit ApplicationPrint Folin
Worksheet for Fire Permit Applicatiori /ii)G{ -011 U
Cit of Newport Beach - BuildingDivision
Please print 3 copies
Associated Building Permit# }(20Zd _2 UvU FX Fire Sprinkler r, Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
309 Montero Ave 33
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Tenant Name # Units I
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2. Description of Work
Owner's Address
Fire Sprinkler 2.7
Use I v – 5 r' K2
City
Extg Sq Ft New/Added Sq Ft Total Sq Ft 2685
Valuation $ 5,000.00
#Stories [3—'
r, New r, Add r', Alter n Demo
First Alec Lic. No.
Check Appropriate Box for Applicant/Notification
Inform=+inn
r 3. Owner's Name Last
First,
Owner's Address
Owner's E-mail Address
City
State F—
Zip F Telephoner
F 4. Architect/Designer's Name
Last Martinez
First Alec Lic. No.
F037827
Architect/Designer's Address
Architect/Designer's E-mail Address
123 E Central Ave.
alec@craigfireprevention.com
City Monrovia
State CAZip
91016 Telephone (626)357-4045
F- 5. Engineer's Name Last
First—', Lic. No.l
Engineer's Address
Engineer's E-mail Address
City I
State F_
Zip r— Telephone
r 6. Contractor's Name Last
First F— Lic. No. F— Class,
Contractor's Address
Contractor's E-mail Address
City I
State I
Zip F Telephoner
OFFICE USE ONLY
PERMIT NO. I 10
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
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OJ� PLAN CHECK FEE $