HomeMy WebLinkAboutF2020-0445 - Permit ApplicationWorksheet for Fire Permia-Application C1307[
,r�, rib Form' City of Newport Beach - Buildi.sg Divisioni� �EPlease print 3 copies U 4 L v� Uceow
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Associated Building Permit # r Fire Sprinkler [— Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
2008 E.00EAN FRONT
Tenant Name WHEATLEY RESIDENCE
2. Description of Work
FIRE SPRINKLERS
142 HEADS
-- .. O/
Extg Sq Ft F— New/Added Sq Ft F— Total Sq Ft
rl New F Add F Alter F- Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
Valuation $ I4200
Stories�l2 I
Infoiluiabon
F_ 3. Owner's Name Last
First �-
Owner's Address
Owner's E-mail Address
City �—
State �—
Zip �— Telephone—
r 4. Architect/Designer's Name
Last �— First F_ Lic, No.
Architect/Designees 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 TelephoneF—
ri 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
DG
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. G
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OCCUPANCY - GROUP
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�f PLAN CHECK FEE $