HomeMy WebLinkAboutF2022-0385 - Permit ApplicationWorksheet for Fire Permit Application p� EW"@�
Print Form
City of Newport Beach -Building Division ^g
Please print 3 copies �o^""
Associated Building Permit # r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailin
I1572 E.00EANFRONT
Tenant Name OCEANFRONT LLC
2. Description of Work
FIRE SPRINKLERS
37 HEADS
Extg Sq Ft F— New/Added Sq Ft F_ Total Sq Ft
r New i— Add ^ Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor
Suite No
# Units
Use
Valuation $ 3700
# Stories
3. Owner's Name
Last'
First F--
Owners Address
Owners E-mail Address
City
State I
Zip F_ TelephoneF_
J" 4. Architect/Designer's Name Last
First F— Lic. No. F—
Architect0esigner's Address
Architect/Designer's E-mail Address
City
State
Zip Telephone
(— 5. Engineer's Name
Last
First �- Lic No. 7
Engineer's Address
Engineers E-mail Address
City
State F_
Zip F_ Telephoned
6. Contractor's Name
Last CASEY First FMONTY Lic. No. 876004 Class C-16
Contractor's 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. Z02Z —V J! VS
UL
PCOM I4�10
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $