HomeMy WebLinkAboutF2021-0088 - Permit ApplicationWorksheet for Fire Permit Application
Print Form
City of Newport Beach - Building Division I
Please print 3 copies � �) M
Associated Building Permit # [K Fire Sprinkler Mirlarm F- Fire Misc
1. Project Address (Not mailing address)
407 N. BAY FRONT
Tenant Name NEW RESIDENCE
2. Description of Work
FIRE SPRINKLERS
27 HEADS
Extg Sq Ft F New/Added Sq Ft
FX_ New r Add F- Alter F- Demo
Check Appropriate Box for ApplicanVNotification
Floor Suite No
# Units F
Use
Valuation $ 2700
Total Sq Ft �''
# Stories
r 3.Owner's Name Last i—
First F_
Owner's Address
Owner's E-mail Address
City F__
State F_
Zip F Telephone
4. Architect/Designer's Name Last
First —, Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
Zip F-7-7 Telephone
r' S. Engineer's Name Last
�—
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State �—
Zip 7 Telephoned®
[X S. Contractor's Name Last ICASEY
-
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
OFFICE USE ONLY
PERMIT NO. (u'�
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $