HomeMy WebLinkAboutF2018-0617 - Permit ApplicationWorksheet for Fire Permit Application
fZol8-0617 City of Newport Beach - Building Division ��
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8 v
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(mit# r Fire Sprinkler � Fire Alarm r Fire Misc
dress (Not mailing address) Floor Suite N
0
,OOD DR
'Name HOLMWOOD RESIDENCE # Units
1. Description of Work
FIRE SPRINKLERS 50 HEADS
Extg Sq Ft (—®- New/Added Sq Ft
FX_ New r Add rAlter r Demo
Check Appropriate Box for Applicant/Notification
Use
Valuation S 5,000
-- Total Sq Ft-- - -
# Stories l
r 3. Owner's Name Last �—
First
Owner's Address
Owner's E-mail Address
City �—
State I
Zip Telephoned
r 4. Architect/Designer's Name Last
First F Lic. No. r ,
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
City �—
State �—
Zip �— Telephoner
r' 5. Engineer's Name Last �—
First �— Lic No.
Engineer's Address
Engineer's E-mail Address
City �
State �—
Zip F_ TelephoneF�
F_ 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
OFFICE USE ONLY
PERMIT NO.t� • l�lo ("1_
TYPE OF CONSTRUCTION
PLAN CHECK P
OCCUPANCY - GROUP
PLAN CHECK FEE $