HomeMy WebLinkAboutF2020-0258 - Permit ApplicationPrint Form Worksheet for Fire Permit Applicat*I
City of Newport Beach - Building Division
Please print 3 copies ••
Associated Building Permit # r Fire Sprinkler r Fire AIa�RR', r'FI
1. Project Address (Not mailing address)
1428 ACACIA AVE
Tenant Name DEVCO - ACACIA RESIDENCE
2. Description of Work
FIRE SPRINKLERS
31 HEADS
EMg Sq Ft F New/Added Sq Ft F_ Total Sq Ft
# Units �—
Use
Valuation $ 3100
#Stories
iX New F_ Add r Alter F- Demo
Check Appropriate Box for Applicant/Notification
j-3.Owner'sName
Last FirstF
Owner's Address
Owner's E-mail Address
City �
State F_ Zip [— Telephone
r 4. Architect/Designer's
Name Last First F_ Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City �
State F— Zip F_ Telephoned
F 5. Engineer's Name
Last I First [_ Lic No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F— Telephoned
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
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OFFICE USE ONLY
PERMIT NO. • O
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $