HomeMy WebLinkAboutF2021-0164 - Permit ApplicationPlease print 3 copies works t of for NewportFire
h-Permitg Application u ""p0. `'�
Associated Building Permit #
F_ Fire Sprinkler r Fire Alarm F- Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
000 HILARIA WAY
F
Tenant Name TRIA SENIOR LIVING
# Units
F
2. Description of Work
FIRE ALARM SYSTEM T.I. 392 DEVICES
Use
Extg Sq Ft I — New/Added Sq Ft F Total Sq Ft I---�
Valuation $ 120K
# Stories
3
F_New F_Add F_ Alter Demo
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last
TRIA SENIOR LIVING
First �—
Owner's Address
Owner's E-mail Address
City
State
F_
Zip �— Telephoned
r— 4. Architect/Designer's Name
Last
First Lic. No. F
Architect/Designees Address
Arch itect/Designer's E-mail Address
City
State
F_
Zip I__ Telephoned
F_ 5. Engineer's Name Last
First F Lic. No. (
Engineer's Address
Engineer's E-mail Address
City
State
F_
Zip F TelephoneF—lo
F—6. Contractor's Name Last
�W` &.
00
First I®" Lic No. 5i10 11 Class
Contractor's Address
Contractor's E-mail Address
City
F—
Ole
State
Zip one
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. vivo l l�
OCCUPANCY - GROUP
PLAN CHECK FEE $