HomeMy WebLinkAboutF2020-0118 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach -Building Division
nt 3 copies r-�� a/0 _ U t k q
,ed Building Permit # F Fire Sprinkler r Fire Alarm rl Fire Misc
project Address (Not mailing
J07 GALATEA TERRACE
Tenant Name
2. Description of Work
(INSTALLATION OF NFPA 13 D SYSTEM
Extg Sq Ft F New/Added Sq Ft', Total Sq Ft
F New rl Add r Alter r Demo
Check Appropriate Box for Applicant(Notification
�9<iF00.N�F
Floor Suite No
7 [777 F_
# Units
Use�I JY
Valuation $
#Stories
r 3. Owner's Name
Last First F77777
Owner's Address
Owner's E-mail Address
City
State �—
Zip Telephoned'
F_ 4. Architect/Designer's Name Last
First—, Lic. No.
- ---
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
Zip I Telephone
r, 5. Engineer's Name
Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address"
City
State
Zip F777 TelephoneF77777
r 6. Contractor's Name Last �SEY
First MONTY Lic. No. 876004 Class C-16
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON AVE
fireproofmc@gmaiLcom
City LA HABRAA
State CA
Zip 90631 Telephone 714 476 5370
OFFICE USE ONLYif
• 2-c) l`% PERMIT NO.
TYPE OF CONSTRUCTIONCs
6
PLAN CHECK NO.
OCCUPANCY - GROUP
`l
PLAN CHECK FEE $
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