HomeMy WebLinkAboutF2020-0446 - Permit ApplicationPrint Form
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Associated Building Perm
\ Worksheet for Fire Permit Application o�m
J City of Newport Beach - Building Division
owa,>
r Fire Sprinkler j— Fire Alarm (— Fire Misc
1. Project Address (Not mailing
621 BAYSIDE AVE
Tenant Name HALL RESIDENCE
2. Description of Work
FIRE SPRINKLERS
35 HEADS
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft
New F_ Add r Alter r Demo
%,necK Appropriate tsox Tor Applicant/Notification
Floor Suite No
# Units r
Use
Valuation $ 3500
# Stories f 2
7 3. Owner's Name Last
FirstF
Owner's Address
Owner's E-mail Address
City I—
State F—
Zip F—— Telephone
r 4. Architect/Designer's Name
Last First 7 — Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
Zip F— Telephoned
F 5. Engineer's Name Last f
—
First F—Lic. No. r
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F_ Telephoner y
fX 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.
05a+ 20W
TYPE OF CONSTRUCTION
OCCUPANCY GROUP
1 \ PLAN CHECK NO.
v� t `
-
PLAN CHECK FEE $