HomeMy WebLinkAboutF2020-0460 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application o
City of Newport Beach - Building D'vision � 19�
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r Fire Sprinkler r- Fire Alarm r- Fire Misc
1. Project Address (Not mailing address)
—1 \N-\ \ aA--, -
Tenant Name SONIL IRIS DUPLEX
2. Description of Work
FIRE SPRINKLERS
36 HEADS
Extg Sq Ft f New/Added Sq Ft F_ Total Sq Ft I--
rx New r- Add r- Alter r- Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units I
Use
Valuation $ 3600
# Stories
r- 3. Owner's Name
Last First F
Owner's Address
Owner's E-mail Address
City �
State F___ Zip I Telephoned
r- 4. Architect/Designer's
Name Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F Zip F Telephoned
r 5. Engineer's Name
Last First I- Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F___ Zip Telephoned
r 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
2010 -dtifoo
OFFICE USE ONLY
PERMIT NO.
lq 10� �
% O
1
TYPE OF CONSTRUCTION V PLAN CHECK NO. hill
OCCUPANCY- GROUP
PLAN CHECK FEE $
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