HomeMy WebLinkAboutF2019-0286 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
1. Project Address (Not
mailing
V1 �</eOwNw
FX_ Fire Sprinkler r Fire Alarm rj Fire Misc
Floor Suite No
1311 UKLHIU AVL
Tenant Name JORCHID RESIDENCE # Units
2. Description of Work
FIRESPRINKLERS 41 HEADS
Extg Sq New/Added Sq Ft Total Sq Ft
- --- -
Ir New F7 Add F7, Alter r Demo
Check Appropriate Box for Applicant/Notification
Use �—
Valuation $ 4,100.00
# Stories
H _
C 3. Owner's Name LastF7777777777
First
Owner's Address
Owner's E-mail Address
City
- --
State —,
-
Zip Telephone
4. Architect/Designer's Name
Last FirstF77777 Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
city
- _ - -
State —1
-
Zip Telephone
r-] 5. Engineer's Name Last
—
_ ! First I Lic. No.
Engineer's Address
Engineer's E-mail Address
- Y -- -- --
Cit
State
F7—
- - - -- - -
Zip—, Telephone—
, J 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
1
FIREPROOFMC@GMAIL.COM
City LA FIA BRA
State CA
Zip 90631 Tele hone 714-476 5370
\FICE USE ONLY
PERMIT 70 Iq ()-ZA G
NO. -
EIr OF CONSTRUCTION
PLAN CHECK NO.
�PANCY - GROUP
0 t LAN CHECK FEE $