HomeMy WebLinkAboutF2020-0186 - Permit ApplicationWorksheet for Fire Permit Application
Print Form : , City of Newport Beach - Building Division C
Please print 3 copies 1 Z4
Associated Building Permit # OZ Fire Sprinkler r Fire Alarm I— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
805 Seashore Dr. F r—
Tenant Name oy # Units F-
Owner's Address
2. Description of Work
Use Residential
nstall new Fire System throughout residence
State f
Valuation $ 000
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft F409
Last
First Lic. No.
# Stories
RNew r Add r Alter r- Demo
ArchiteWDesigner's E mall Address
Check Appropriate Box for ApplicantlNotif)cation
r 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State f
Zip F Telephone—
r4. ArchitectlDesignees Name
Last
First Lic. No.
Architect/Designees Address
ArchiteWDesigner's E mall Address
City
�' State —
21P F— TelephnneF
r' S. Engineer's Name Last
� �
First F— Lsc N®.
Engineer's Address
Engineer`s E-mail Address
City
State F—
2'ip F 3e3ep4roneF—
IR 6. Contractor's Name Last
irignano
First Ceilh Lic No_ F15588 Class -16
Contractor's Address
Conlractae's E-nmil Address,
2672 Lambert St. #619
hh.alistarl@gmail.com
City Fake Forest
State Iva
Zip F2630 Telephone 9-521-2460
OFFICE USE ONLY
PERMIT NO. r �0Zv
�
TYPE OF CONSTRUCTION —
/
PLAN CHECK NO.�
OCCUPANCY - GROUP
p�
_ pL� 7 PLAN CHECK FEE $