HomeMy WebLinkAboutF2021-0519 - Permit ApplicationPrint [ orm
r
Please prr m 3 copies
Associated Building Permit #
\W<> dlugheu-A too Fave Pevl 11 R AVp) �ucation
City of Newport Beach - Building Division �a D� y.
1. Project Address (Not mailing address)
506 CLUBHOUSE
Tenant Name GARG RESIDENCE
2. Description of Work
FIRE SPRINKLERS
45 HEADS
IX fire Sprinkler I-- Fire Alarm I Fire Mis
Extg Sq Ft F New/Added Sq Ft I Total Sq Ft
Ix New I-_. Add [ Alter (— Demo
Choch A [,()(propr iato Box for AppIicanUi Not ikon Don
Use
�gw'�pRr
o� e�
CAC/FORN�P
Floor Suite No
# Units
Valuation $ 14500
It Stories 2
1 3. Ovvnor''s Nanno Last - - First I
Owner's Address Owner's E-mail Address
City State Zip f Telephoned
- ---- ---- ----
i -. Ave hiirer;t/Designoes Name Last First Lic. No.
Architect/Designees Address Architect/Designees E-mail Address
City I State Zip --- Telephone -
j 5. Eraginoees Name Last F First Lic No
1-ngineer's Address Engineer's E-mail Address
I
city State Zip F Telephone
fX 6. Conftnctov's Name Last CASCY First MONTY ; Lic. No. F7760�1 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 026) 1 �' �� PERMIT NO.
TYPE'OF CONSTRUCTION PLAN CHECK NO. NZI
OCCUPANCY - GROUP "'��� PLAN CHECK FEE $