HomeMy WebLinkAboutF2022-0031 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies 20 3 1
Associated Building Permit # F FX Fire Sprinkler j— Fire Alarm (- Fire Misc
1. Project Address (Not mailing address)
15406 NEPTUNE AVE
Tenant Name IDE CARO RESIDENCE
2. Description of Work
FIRE SPRINKLERS
j35 HEADS
Extg Sq Ft I New/Added Sq Ft
IX New F_ Add 7 Alter j Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use
Valuation $ 3500
Total Sq Ft
# Stories F3
3. Owner's Name Last
First
Owner's Address
Owners E-mail Address
City
State Zip TelephoneI
F 4. Architect/Designer's Name Last
First I Lic. No. �
Architect/Designers Address
Architect/Designer's E-mail Address
i
City
State F.—Zip Telephone)
F 5. Engineer's Name Last !
First Lic No. I i
Engineer's Address
Engineer's E-mail Address
City
State Zip j Telephonei
IX 6. Contractor's Name Last iCASEY
First iMONTY Lic No. 66004 Class iC-16
Contractor's Address
Contractor's E-mail Address
_ _
11101 KINGSTON DR
_
FIREPROOFMC@GMAIL.COM
City !LA HABARA
State CA Zip 190631 Telephone r714-476-5370
OFFICE USE ONLY
!D',Q o 01[°Ic7 PERMIT NO. LOZy—OD31
TYPE OF CONSTRUCTION
PLAN CHECK NO.
x Uzi t say
OCCUPANCY- GROUP
PLAN CHECK FEE $