HomeMy WebLinkAboutF2020-0332 - Permit Applicationf?rint,Form Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # rl Fire Sprinkler F7 Fire Alarm r! Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2027TAHUNATERRACE-
Tenant Name GARNER RESIDENCE # Units
2. Description of Work
Use r
FIRE SPRINKLERS
45 HEADS
Stater--
Zip r-- Telephoned
Valuation $ 4500 j
Extg Sq Ft r— New/Added Sq Ft r— Total Sq Ft I—,
— -
# Stories 2
FX-, New [— Add r Alter F_ Demo
State
Check Appropriate Box for Applicant/Notification
Infnrnma#inn
r 3. Owner's Name
Last r-
First F
Owner's Address
Owner's E-mail Address
City
Stater--
Zip r-- Telephoned
F 4. Architect/Designer's
Name Last First �' Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
City r--
State
Zip r Telephone)
F, 5. Engineer's Name
Last
First r ' Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F—
Zip Telephoned'
V6. Contractor's Name
Last CASEY First MONTY Lic. No. 876004 ClassC-16
Contractor's Address
Contractor's E-mail Address
10
1101 KINGSTON DR
-
FIREPROOFMC@GMAIL.COM
-
City LA HABRA
State CA
Zip 90631 Telephone 714-4765370
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
X a01/
1.,� PLAN CHECK FEE $