HomeMy WebLinkAboutF2022-0249 - Permit ApplicationPrint Form
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Associated Building Permit #
Worksheet for Fire Permit Application oF�`W'°Ra
City of Newport Beach - Building Division (:
FX_ Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
1521KATHLEEN LANE
Tenant Name WEICHMAN RESIDENCE
2. Description of Work
FIRE SPRINKLERS
34 HEADS
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft
)xX New F- Add 1— Alter F Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
Use
Valuation $ 3400
# Stories I1
F 3. Owner's Name
Last First F—
Owner's Address
Owner's E-mail Address
City
State 7 Zip'— Telephone
j 4. Architect/Designer's
Name Last First �— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City I
-
State F_ Zip F_ Telephone[
F S. Engineer's Name
Last � First I_ Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State 7_ Zip F Telephoned
IX 6. Contractor's Name
Last CASEY First MONTY Lic. No. 876004 ClasslC-16
Contractor's Address
Contractor's 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. F20'-2.Gz`t2
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TYPE OF CONSTRUCTION ��,yl ,62U0 PLAN CHECK NO. 1 Zk 3' Z.vZZ
OCCUPANCY - GROUP
A jj PLAN CHECK FEE $