HomeMy WebLinkAboutF2022-0429 - Permit ApplicationFrlr16¢itn r <= Worksheet for Fire Permit Application U��-w
Please print 3 copies City of Newp rt Beach - Building Division
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Associated Building Permit # 0901-2022 (/��
JX Fire Sprinkler ✓ _ Fire Alarm j` Fire Misc
I. Project Address (Not mailing address)
2865 East Coast Hwy Floor Suite No
First 120
Tenant Name Spec Suite
# Units
2. Description of Work A -Sys
&_7
Relocate 2 sprinkler heads and add 3 new heads for a Medical Office remodeling.
Use Medical Office
Extg Sq Ft 11 150 New/Added Sq Ft Valuation $ 00,00
- Total Sq Ft 1,150
r, New Add Xi Alter
(- Demo ✓#Stories r;�7'
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last
Owner's Address - First - - -
Owner's E-mail Address
City _�
State Zip Telephone
F_ 4. Architect/Designer's Name Last
Architect/Designer's Address First Lic. No.
Architect/Designer's E-mail Address
City_
State F-�.._. Zip
Telephone
f 5. Engineer's Name Last���
First
Engineer's Address --- Lic. No.
Engineer's E-mail Address
city
State �� Zip l ' TelephoneF�
(X 6. Contractor's Name Last AA Fire Protection First
r' Lic. No. 807294 Class F16
Contractor's Address
142 E. Bonita Ave #54 Contractor's E-mail Address
aaafireco@gmail com
City San Dimas State CA
Zip 91773 Telephone (310) 569-4122
OFF/CE USE ONLY
TYPE OF CONSTRUCTION _ PERMIT NO. 0`Q_
OCCUPANCY -GROUP PLAN CHECK NO. PGZe7-G -
PLAN CHECK FEE $