HomeMy WebLinkAboutF2019-0524 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division Fum- 00
FX_ Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
6 VIA CRISTALLO
Tenant Name HARDAWAY RESIDENCE
2. Description of Work
FIRE SPRINKLERS
9 HEADS
Extg Sq Ft [— New/Added Sq Ft
Fx- New r" Add r Alter i— Demo
..�.... r+I'FRUPrraaC UUA ror wppimanTiNOTITIcation
Floor Suite No
# Units r
Use
Valuation $ 900
Total Sq Ft
# Stories r
r 3. Owner's Name Last
First F_
Owner's Address
Owner's E-mail Address
City
State � Zip [_ Telephone
r 4. Architect/Designer's Name
Last First I— Lic. No. F
ArchitecUDesigner's Address
ArchitecttDesigner's E-mail Address
City
State F— Zip F Telephone—
r S. Engineer's Name Last
First F_
Lic. No. F—
Engineer's Address
Engineer's E-mail Address
City
State �— Zip f— Telephone—
r 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 $