HomeMy WebLinkAboutF2020-0333 - Permit Application,Print Form
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sociated Building Permit #
Worksheet for Fire Permit Application ,4��'°"e
City of Newport Beach -Building Division �1) �
rFire Sprinkler F_ Fire Alarm F7 Fire Misc
1. Project Address (Not mailing address)
1807 GALATEA TERRACE
Tenant Name ZAHEDI RESIDENCE
2. Description of Work
Floor Suite No
_
# Units
FIRE SPRINKLERS Use
66 HEADS -
-
Valuation $ 6600
Extg Sq Ft F New/Added Sq Ft �— Total Sq Ft
rX-, NewF_ Add r-: Alter F- Demo #Stories I
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last
�— First F -7 -
Owner's Address
Owner's E-mail Address
City
State F_ Zip F— Telephoned
4. Architect/Designer's Name
Last First �— Lic. No, F—
ArchiteottDesigner's Address
ArchitecUDesigner's E-mail Address
City
State F-- Zip F— Telephone—
r 5. Engineer's Name Last
First F— Lic No.
Engineer's Address
Engineer's E-mail Address
City �
State �— Zip F______7 TelephoneF_
rj.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
PERMIT NO.
TYPE OF CONSTRUCTION
XadlC1.pi,4�,\ PLAN CHECK NO. 2--fLo
OCCUPANCY- GROUP
635D_ z-0 I V PLAN CHECK FEE $
V 1-4 1 "1 -p N Ia 0