HomeMy WebLinkAboutF2020-0246 - Permit ApplicationWorksheet for Fire Permit Application
Please print 3 of"@
Print Form City of Newport Beach -Building Division � '�
copies
Associated Building Permit #
(x Fire Sprinkler [_ Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
323 DRIFTWOOD
�—
F_
Tenant MCELROY RESIDENCE
# Units
Name
2. Description of Work
FIRE SPRINKLERS
Use
37 HEADS
Valuation $ 3700
EMg Sq Ft F— New/Added Sq Ft F— Total Sq Ft
# Stories
F
New F_ Add F_ Alter F_ Demo
Check Appropriate Box for Applicant/Notification
In F........k'..r.
F_ 3. Owner's Name Last
First F_
Owner's Address
Owner's E-mail Address
City
State F_ Zip F Telephoned
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
First F 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
Contractors Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA Zip 9FO631 Telephone 714 6-5370
_
° 7"
OFFICE USE ONLY
,, hh PERMIT NO.
T
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TYPE OF CONSTRUCTION
R� PLAN CHECK NO.
OCCUPANCY - GROUP
eii1 A PLAN CHECK FEE $
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