HomeMy WebLinkAboutF2020-0359 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
2961 CLIFF DR
Tenant Name HALLERRESIDENCE
2. Description of Work
FIRE SPRINKLERS
60 HEADS
Extg Sq Ft 2— New/Added Sq Ft 2
FX New r Add [_ Alter F_ Demo
X Fire Sprinkler r Fire Alarm r— Fire Misc
Check Appropriate Box for Applicant/Notification
Floor Suite No
2 2
# Units �—
Use
Valuation $ 6,000
Total Sq Ft �—
# Stories 2
r 3. Owner's Name
Last
First F—
Owner's Address
Owner's E-mail Address
City
State (
Zip F Telephoned
f 4. Arch itecVDesigner's
Name Last
First Lic. No. 2a
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_
Zip F Telephoned
I— 5. Engineer's Name
Last �
First F_ Lic. No. �®
Engineer's Address
Engineer's E-mail Address
City
State
Zip Telephoned
fx 6. Contractor's Name
Last CASEY First MONTY Lic. No. I Class[
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 \qllio'1,0\1\ PLAN CHECK NO. ( L�CJ
OCCUPANCY- GROUP
tq -
. 11 PLAN CHECK FEE $
1