HomeMy WebLinkAboutF2020-0496 - Permit ApplicationWorksheet for Fire Permit Application
pp
City of Newport Beach - Building Division ar�`
Please print 3 copies
Associated Building Permit# -0 -I )K Fire Sprinkler F7Fire Alarm
I- Project Address (Not mailing address)
2806LAFAYETTE AVE
Tenant Name GALLIAN RESIDENCE
2. Description of Work
FIRE SPRINKLERS
27 HEADS
Extg Sq Ft - - New/Added Sq Ft Total Sq Ft
F, New [ Add C, Alter Demo
Check Appropriate Box for Applicant/Notification
F Fire Misc
Floor Suite No
# Units F7
Use �1� J
V - 3 -S?kz
Valuation $ 2700
# Stories 13
3. Owner's Name
Last
First
Owner's Address
-
- - _-
Owner's E-mail Address
City --_
--- ---State �—��
------------ ----- J
Zip F77777^I TelephoneF77 �
A4. Architect/Designer's
Name Last First Lic. No.
rchitect/Designer's Address
Archite ct/Desi ner's E-mail Address
city
State—
- --- --------
Zip -I Telephoneli
r 5. Engineer's Name
Last
-
First 777 �; Lic. No.
--
Engineer's Address
Engineer's E-mail Address
City
State I
Zip F Telephone—i
rg 6. Contractor's Name
Last CASEY _ — First MONTY Lic. No. 876004 !Class C-16 J
Contractor's Address
Contractor's E-mail Address
1101 KIGSTON DR
- -
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA
Zip 90631 Telephone 714 476-5370
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. ' O ZZ
OCCUPANCY - GROUP
PLAN CHECK FEE $