HomeMy WebLinkAboutF2019-0598 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not
43 CAMBRIA
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
FX_ Fire Sprinkler F_ Fire Alarm r- Fire Misc
address)
Tenant Name ICOOPER RESIDENCE
2. Description of Work
FIRE SPRINKLERS
60 HEADS
Extg Sq Ft New/Added Sq Ft
jX New (- Add r Alter F Demo
Check Appropriate Box for Applicant/Notification
Total Sq Ft
Use
�FWapRJ
p@
U S
Floor Suite No
# Units F
Valuation $ 6,000
# Stories I-
r 3. Owner's Name
Last First F_
Owner's Address
Owners E-mail Address
City
State �- Zip F_ TelephoneF�
F 4. Architect/Designer's
Name Last First F_ Lic. No. r®
----Architect/Designer's---------- Address
Architect/Designers E-mail Address
City �
State �— Zip F_ Telephone—
r 5. Engineer's Name
Last First F�
Lic. No. F-
Engineer's Address
Engineers E-mail Address
City
State F— Zip �— Telephone�-
f 6. Contractor's Name
Last CASEY First FMONTY Lic. No. 876004 Class C-16
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABARA
State CA Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
TYPE OF CONSTRUCTION
1 i'1 2,� '1 PERMIT NO. � EE
IV V k-y- I -
I --- PLAN CHECK NO.2L �' 1`� -
L
OCCUPANCY - GROUP
4
e,a4.c� PLAN CHECK FEE $