HomeMy WebLinkAboutF2025-0114 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
XC2024-0453 r Fire Sprinkler F_ Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
20401 SW Birch Street, Newport Beach, California 92660 2nd.
Tenant Name McCarthy Construction # Units F-
2. Description of Work
Use Comm
Fire Sprinkler Tenant Improvement@Golf Simulator (3 Heads Total )
Extg Sq Ft F-- New/Added Sq Ft �— Total Sq Ft 900
Valuation $ 5,850.00
#Stories
I- New I- Add IX Alter F- Demo
Check Appropriate Box for Applicant/Notification
I— 3. Owner's Name
Last McCarthy Construction First F
Owner's Address
Owner's E-mail Address
20401 SW Birch Street
City Newport Beach
State Ca. Zip 92660 Telephone
F_ 4. Architect/Designer's
Name Last Chavez First Eric Lic. No. 577621
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
1075 W. Lambert Road
echavez@coscofire.com
City Brea
State Ca. Zip 92821 Telephone 714-989-1800
(- 5. Engineer's Name
Last First— Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F Zip F__ TelephoneF
6. Contractor's Name
Last Cosco Fire Protection Inc. First F Lic. No. 577621 Class C-i ox-ia
Contractor's Address
Contractor's E-mail Address
1075 W. Lambert Road
fmone@coscofire.com
City Brea
State Ca. Zip 92821 Telephone 714-989-1755
OFFICE USE ONLY � S �Lftl{'- (la`L q PERMIT NO. Ti_57-- l) t t
TYPE OF CONSTRUCTION �,CSErttii- 0 t.0 PLAN CHECK NOF (�Z�o�-� t
OCCUPANCY - GROUP
A; i 6 11- C3' PLAN CHECK FEE $