HomeMy WebLinkAboutF2020-0130 - Permit ApplicationWorksheet for Fire Permit Application
Please print 3 copies <MOP^" 04 �EWPoge
Print Form City of Newport Beach -Building Division
Associated Building Permit # r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
2309 Santiago Or
Tenant Name Tenore Residence
2. Description of Work
fire sprinklers
69 heads
Extg Sq Ft r- New/Added Sq Ft Total Sq Ft I
r New F_ Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
Use
Valuation $ 6900
# Stories (1
r 3. Owner's Name
Last First 7-
Owners Address
Owner's E-mail Address
City
State F_ Zip F Telephoned
F_ 4. Architect/Designoes Name Last First 7- Lic. No. F
Architect/Designer's Address
Architect/Designees E-mail Address
_.. ____....
City
--
State F__ Zip F_ Telephone
r 5. Engineer's Name
Last First 7 Lic. No.
Engineer's Address
Engineers E-mail Address
City
State F___ Zip F- Telephoned
r 6. Contractor's Name
Last Casey First[Mon iy Lic. No. 876004 Class c- 66
Contractors Address
Contractors E-mail Address
1101 Kingston Dr
fireproofmc@gmail.com
city La Habra
State CA Zip 907631 Telephone 714-476-5370
OFFICE USE ONLY L ,�r PERMIT NO.� alb
r `
TYPE OF CONSTRUCTION
PLAN CHECK NO.�'�
OCCUPANCY- GROUP
1,��luP PLAN CHECK FEE $
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