HomeMy WebLinkAboutF2018-0407 - Permit ApplicationPrint FormWorksheet for Fire Permit Application
q 7� g g� ity of Newport Beach - Building Division
Please print 3 copies t //V l 9/
01
Associated Building Permit # , rX_I Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
208 EVENING CANYON
Tenant Name THE SL TRUST PROJECT # Units
Owners E -mad Address 7Jr
2. Description of Work
Use
F_ 4. Architect(Designer's
FIRE SPRINKLERS 64 HEADS
Architect/Designers Address
Architect/Designer's E-mail Address
Valuation $
Extg Sq Ft F_New/Added Sq Ft Total Sq Ft F_
r 5. Engineer's Name
Last �— First Lic No.
Engineers Address
Engineers E-mail Address
# Stories
FNew r Add r Alter r Demo
FX 6. Contractor's Name
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name
Last ! _ First � �7�
Owner's Address
Owners E -mad Address 7Jr
City
State Zip 7 Telephone
F_ 4. Architect(Designer's
Name Last Firsti- Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
City
State �— Zip F Telephone—
r 5. Engineer's Name
Last �— First Lic No.
Engineers Address
Engineers E-mail Address
City
State F Zip F------7 TelephoneF7777
FX 6. Contractor's Name
Last CASEY Y First MONTY Lic. No. 876004 Class C-16
Contractors Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
State FCA_
_ Zip 90631 Telephone714 4^76 5370
OFFICE USE ONLY
l �°' PERMIT NO.
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TYPE OF CONSTRUCTION PLAN CHECK NO.
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OCCUPANCY- GROUP
PLAN CHECK FEE $