HomeMy WebLinkAboutF2020-0488 - Permit ApplicationPrint Form Worksheet for Fire Permit Application 1 Zx'-2�) 'IV
Please print 3 copies
City of Newport Beach - Building Division
Associated Building Permit# �Z� riil ?7� SOO r Fire Sprinkler r' Fire Alarm r• Fire Misc
I. Project Address (Not mailing address)
12701 CIRCLE DR
Tenant Name LINENBEERESIDENCE
2. Description of Work
IC ]YNINKUK5
HEADS
Extg Sq Ft F_ New/Added Sq Ft F_— Total Sq Ft
rX New r Add j- Alter r Demo
ChnnL A..........�:�a_,
------rr--r••-•--� ��� •v �.�rr+ua.al•Y•�Vlllll:dligll
Floor
Suite No
# Units
�—
Usel Cz3(U
Valuation $ 5500
# Stories I3
v-t-SP CL
F_ 3, Owner's Name Last
First F—
Owner's Address
Owner's E-mail Address
City F—
State F Zip F— TelephoneF_
F 4. Arch itect/Designer's Name
Last First F— Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State —ZIP F— Telephoned--
F_ 5. Engineer's Name Last
FirstF_Lic. No. F--
Engineer's Address
Engineer's E-mail Address
City
State I Zip F— TelephoneF_
Ix 6. Contractor's Name Last CASEY First MONTY Lic. No. 876004 Class C-16
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON 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.
OCCUPANCY - GROUP
PLAN CHECK FEE $