HomeMy WebLinkAboutF2020-0502 - Permit ApplicationWorksheet for Fire Permit Application o 9m
Print Form z
City of Newport Beach -Building Division
Please print 3 copieC
Associated Building Permit r Fire Sprinkler j fire Alarm F_Fire Misc
1. Project Address (Not mailing address)
3404 QU I ET COVE
Tenant Name IFLORIANI RESIDENCE
2. Description of Work & a
FIRE SPRINKLERS f ut 6—
53HEADS `l}'C
Extg Sq Ft F New/Added Sq Ft �— Total Sq Ft F
r New r Add F_ Alter r Demo
Check Appropriate Box for Appiicant/Notification
Floor Suite No
# Units �—
Use
Valuation $ 5300
# Stories I
F- 3. Owner's Name
Last First F_
Owner's Address
Owner's E-mail Address
City
State F_ Zip F_ Telephoned
j— 4. Arch itect/Designer's Name Last First Lic. No. F�
Architect/Designer's Address
Architect/Designees E-mail Address
City
State F— Zip F_ TetephoneF_
r 5. Engineer's Name
Last First 7 Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F__ Telephoned
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
V
OFFICE USE ONLY
r 11� PERMIT NO.
I
TYPE OF CONSTRUCTION " PLAN CHECK NO.
OCCUPANCY -GROUP
�2��Ji j,_ /'1i►/Lt= PLAN CHECK FEE $