HomeMy WebLinkAboutF2019-0536 - Permit ApplicationPrint Form;
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
r'i, Fire Sprinkler r Fire Alarm r' Fire Misc
1. Project Address (Not mailing address) Floor Suite No
7302W OCEANFRONT AVE F777
Tenant Name PERTZ RESIDENCE # Units �-
Owner's Address
2. Description of Work
Use
FIRE SPRINKLERS
26 HEADS
Zip F_ Telephoned,
r 4. Architect/Designer's
Valuation
Extg Sq Ft F—,New/Added Sq Ft � Total Sq Ft F_
-
Architect/Designer's E-mail Address
# Stories I
New (—' Add 17, Alter r Demo
Zip Telephoned
Check Appropriate Box for Applicant/Notification
F,_ 3. Owner's Name
Last
First
Owner's Address
Owner's E-mail Address
City �
State F_
Zip F_ Telephoned,
r 4. Architect/Designer's
Name Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
Zip Telephoned
F 5. Engineer's Name
Last
First Lic. No.
Engineer's Address
Engineers E-mail Address
City
State
Zip Telephone -
r, 6. Contractor's Name
Last CASEY First MONTY Lic. No. 876004 Class C-16
Contractors Address
Contractors E-mail Address
1101 KINGSTON DR
_
-
FIREPROOFMC@GMAIL,COM
-
City LA HABRA
State CA
Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
O PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
�..
,j PLAN CHECK FEE $