HomeMy WebLinkAboutF2020-0203 - Permit ApplicationWorksheet for Fire Permit ApplicationU�Fw77 Print FormCity of Newport Beach -Building DiuisionPlease print 3 copies
Associated Building Permit Z Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
505 Seashore
Tenant Name oy Residence # Units �-
2. Description of Work
nstall new fire sprinkler system l Use Residential
`1
Valuation $ 500
Extg Sq Ft New/Added Sq Ft Total Sq Ft 200 U
R New r Add F Alter # Stories
r Demo -- Z�
Check Appropriate Box for Applicant/Notification
F 3. Owners Name Last
�—
First �—
Owner's Address
Owner's E-mail Address
City
State F
Zip F— Telephone—
(- 4. Architect/Designees Name
Last FirstF Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F
Zip [ Telephoned
F 5. Engineer's Name Lest
First F Lic No.
Engineer's Address
Engineers E-mail Address
City
State F_
Zip F_ Telephoned
5Z 6. Contractors Name Last
irignano
First Keith Lic. No. F15588 Class C16, C36
Contractor's Address
Contractor's E-mail Address
2672 Lambert St. #619
�eith.alistarl@gmaii.com
City ake Forest
State Fa
Zip F2630 Telephone 49-521-2460
OFFICE USE ONLY
PERMIT NO. C�
TYPE OF CONSTRUCTION
��
PLAN CHECK NO. G _ ) o[ _ _0_ U
OCCUPANCY - GROUP
PLAN CHECK FEE $