HomeMy WebLinkAboutF2022-0313 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application o4q��
City of Newport Beach - Building Division � K.
ar,P
r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
712 IRIS AVE
Tenant Name NEW RESIDENCE
2. Description of Work
?( �Z_610 — (0730
X %0-
FIRE SPRINKLERS
44 HEADS
Extg Sq Ft I—
New/Added Sq Ft F—
Total Sq Ft
Ix New r Add
r Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
o-7Z9
Use
Valuation $ 4400
# Stories 1
r 3. Owner's Name
Last
First F_
Owner's Address
Owner's E-mail Address
City
State F Zip
F— Telephoned
F 4. Arch itectlDesigner's Name Last
Firstt Lic. No. F—
Architect/Designers Address
ArchitecNDesigner's E-mail Address
City
State F—Zip
Telephoned—
(— 5. Engineer's Name
Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip
F_ Telephone
r 6. Contractor's Name
Last CASEY
First MONTY Lic. No. B76004 Class C-16
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABARA
State CA Zip
90631 Telephone 714�76-5370
falt, 031
OFFICE USE ONLY
PERMIT NO. C%Zr?lA — 0- 1?—
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
' �� PLAN CHECK FEE $