HomeMy WebLinkAboutF2020-0204 - Permit ApplicationWorksheet for Fire Permit Application o��wroRm
City of Newport Beach - Building Division
Please print 3 copies ,7th oa'
Associated Building Permit # �— (K; Fire Sprinkler (` Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
First F
Floor Suite No
000 E OCEANFRONT
City State F
F_�—
Tenant Name
�' First F Lic. No. F
# Units F
2. Description of Work
_.1. 1_. _
City State I
Use
NEW FIRE SPRINKLER SYSTEM A
Engineer's Address
Engineer's E-mail Address
Valuation $
Extg Sq Ft F New/Added Sq Ft
Total Sq Ft 702
Contractor's Address
19New F-, Add F -Alter F -Demo
(, j`%'/� / �/�%
#Stories F
City MONROVIA State CA
Zip 91016 Telephone(626) 357-4045
OFFICE USE ONLY
Check Appropriate Box for Applicant/Notification (��
r 3. Owner's Name Last
First F
Owner's Address
Owner's E-mail Address
City State F
Zip [— Telephone
r 4. Architect/Designer's Name Last
�' First F Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
_.1. 1_. _
City State I
_.
Zip [— Telephoned
r 5. Engineer's Name Last First F Lic. No. F
Engineer's Address
Engineer's E-mail Address
City State
Zip Telephone
ri 6. Contractor's Name Last YA First FOCHITL Lic. No.1037827 Class16
Contractor's Address
Contractor's E-mail Address
123 E CENTRAL AVE
XOCHITL@CRAIGFIRE.NET
City MONROVIA State CA
Zip 91016 Telephone(626) 357-4045
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $