Loading...
HomeMy WebLinkAboutF2021-0288 - Permit ApplicationWorksheet for Fire Permit Application Pant Form";'?. City of Newport Beach -Building Division u g Please print 3 copies 2,q Associated Building Permit # r FireSprinkler r Fire Alarm j-; Fire Misc 1. Project Address (Not mailing address) Tenant Name 2. Description of Work FIRE SPRINKLER SYSTEM 32 HEADS Extg Sq Ft �! New/Added Sq Ft �, Total Sq Ft—' r! New r, Add r Alter r Demo Check Appropriate Box for Applicant/Notification Floor Suite No # Units J Use I rC 5 I I v-\15 -Sf Valuation $ 3,200 # Stories r 3. Owner's Name Last SECHRIST - First Owner's Address Owner's E-mail Address --- — - city -..----- ---- - - ---- - - - -- - - - State r Zip Telephone r4. Architect/Designer's Name Last First F Lic. No. Architect/Designer's Address Architect/Designees E-mail Address ----------- - ----- city ------------------------ State Zip Telephone r 5. Engineer's Name Last I First F Lic. No. —'i Engineer's Address Engineer's E-mail Address i City � i State F_' Zip F—,�i Telephoned r! 5. Contractor's Name Last CASEY First MONTY Lic. No. Class C-16 Contractor's Address Contractor's E-mail Address ] (j©b 1101 KINGSTON DRIVE Ifireproofmc@gmail.com City LA HABRA State CA -._ j Zip g0631 Telephone 714 476 5370 OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP PLAN CHECK FEE $