HomeMy WebLinkAboutF2021-0027 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing
27 vista Tramonto
Tenant Name (Mead Residence
2. Description of Work
Fire sprinklerTI-20 heads
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
r Fire Sprinkler r Fire Alarm r Fire Misc
Extg Sq Ft F_
New/Added Sq Ft F Total Sq Ft
F New Fx_ Add Alter F- Demo
Check Appropriate Box for Applicant/Notification
4lf�NOg7
(F.
G�p0.NJe
Floor Suite No
F_ F
# Units F
Use
Valuation $ 2500
# Stories
(- 3. Owner's Name Last
First F—
Owner's Address
Owner's E-mail Address
City F State
F_
Zip F_ Telephoned---
4. Architect/Designer's Name Last
First— Lic. No. r
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
F—
Zip - Telephoned
c 5. Engineer's Name Last Mitchell
First Brent Lic. No.F —
Engineer's Address
Engineer's E-mail Address
Same as below
City State
F
Zip �Telephoned`
IX 6. Contractor's Name Last California Fire Protection
First F — Lic. No. 0016781 Class C-16
Contractor's Address
Contractor's E-mail Address
647 Camino De Los Mares#108
stacee@cafireprotection.com
City San Clemente State
CA
Zip 92673 Telephone 949-770-5371
OFFICE USE ONLY
PERMIT NO. ?Iy24 -ooyi
TYPE OF CONSTRUCTION
PLAN CHECK NO. C�pJ�'i 02j
OCCUPANCY - GROUP
PLAN CHECK FEE $ x 2 11