HomeMy WebLinkAboutF2020-0047 - Permit Application:m Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # [' Fire Sprinkler [i, Fire Alarm rl Fire Misc
1. Project Address (Not mailing address) Floor Suite
�
F-1,
819 VITA LIDOSOUD
- -
-#
Units r
Tenant Name JABARA RESIDENCE
2. Description of Work
Use
FIRE SPRINKLERS
85 HEADS
Valuation $ 8500
�;
Extg Sq Ft I New/Added Sq Ft �'i Total Sq Ft �
-
# Stories I3 j
L
iKi New [7 Add F] Alter n Demo
Check Appropriate Box for Applicant/Notification
MFw�m�4iwn
❑ 3.Owner's Name Last — First I
Owners Address Owners E-mail Address
I
City - -_.-- - -- - ---- -..—_..J State Zip F Telephoned
i
4. ArchitectlDesigner shame Last_ J First Lic. No.
ArchitectlDesigners Address Architect/Designers E-mail Address
i
1
City State Zip Telephone
F'r 6. Engineer's Name Last First F77777 Lic. No.
Engineer's Address Engineers E-mail Address III
City State Zip Telephone 1
C 6. Contractor's Name Last CASEY - First MONTY _ LiN.87604 1 ClasC-16
Contractors Address Contractors E-mail Address
1101 KINGSTON DR FIREPROOFMC@GMAIL.COM
City LA HABRA - - _i State F77 Zip 90631 - Telephone714- 76-5370 J
OFFICE USE ONLY � PERMIT NO. U • 0ty6(s+1
TYPE OF CONSTRUCTION "" t "• PLAN CHECK NO. 0105 AO
OCCUPANCY - GROUP i" _ • PLAN CHECK FEE $