HomeMy WebLinkAboutPC2023-0287 - Permit ApplicationWorksheet for Fire Permit Application
Print Form
City of Newport Beach -Building Division
Please print 3 copies
Associated Building Permit # fKI Fire Sprinkler [, Fire Alarm r7 Fire Misc
1. Project Address (Not mailing address)
1561 Dove Street, sulk 130, Newport BCach, CIA 12(9(c0
Tenant Name Pc6br- -TUSK builders
2. Description of Work
the Scopc of Warm inclucks +he taocallon of M.) eyi&hncj fire sprinmltr
heads duc i� new wall and tvghk tacgkions.
Extg Sq Ft �i, New/Added Sq Ft Total Sq Ft q 563
❑ New ❑ Add ® Alter ❑ Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
L
Use 13-GP (P
Valuation $ 2 (pOp.00
# Stories Ip
❑ 3. Owner's Name Last First
Owner's Address
Owner's E-mail Address
Iml Vovc Stree} suiic. 560
City I Newport 'geao) j
State I � J Zip g2rato0 I Telephone (g9q�2S2 80(n2
4. Architect/Designees Name Last
First Lic. No.l
I �
Architect/Designees Address
Architect/Designer's E-mail Address
I
City I
i
State Zip 7771, Telephoned!
❑ 5. Engineer's Name Last
JI First �, Lic. No.
I
Engineer's Address
Engineer's E-mail Address
City j
State Zip Telephone
hone
[;6. Contractor's Name Last �OhrlStoY� First JOY�n Lic. No. ,o qc(q7 Class
Contractor's Address
Contractor's E-mail Address
notRaymar Road, wic N
john@allerotircrnc.corn
City OC¢Llnslcle
State CH Zip T2058 Telephone C95112 -3912 '
OFFICE USE ONLY
PERMIT NO. PCZOZS�OZ8�7
TYPE OF CONSTRUCTION
PLAN CHECK NO. FZ60 0/P17
OCCUPANCY - GROUP
PLAN CHECK FEE $