HomeMy WebLinkAboutF2022-0140 - Permit ApplicationWorksheet for Fire Permit Application n49-0,
P7int Fdrm jr `; City of Newport Beach - Building Division
Please print 3 copiesi
Associated Building Permit # rFire Sprinkler (-; Fire Alarm F_ Fire Misc
1. Project Address (Not mailing
136 ROYAL ST GEORGE RD
Tenant Name COX RESIDENCE
2. Description of Work
FIRE SPRINKLERS
38 HEADS
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft F—
r New r Add F- Alter r', Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
F_ F_
# Units
Use
Valuation $ 3800
# Stories IT-7,
r 3.Owner's Name
Last � First [_'
Owner's Address
Owners E-mail Address
City
State F_ Zip F-7-- Telephoned
f— 4. Architect/Designer's Name Last �— First Lic. No. F
Architect/Designer's Address
Architect/Designers E-mail Address
City �-
State Zip Telephoned
r 5. Engineer's Name
Last First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City
T!, State I— Zip F Telephone—
6. Contractor's Name Last CASEY First MONTY Lic. No. 876004 Class C-16
Contractors Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABARA
State CA Zip 90631 Telephone 714 476-5370
OFFICE USE ONLY
PERMIT NO. �iuzz, �' dt4o
TYPE OF CONSTRUCTION
2`r'1 � 1 PLAN CHECK NO. M!4 •iA19/
OCCUPANCY- GROUP�•�,'7�
PLAN CHECK FEE $