HomeMy WebLinkAboutF2023-0238 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # I FX_ Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
217 VIA RAVENNA
F
Tenant Name MOHN RESIDENCE
# Units
F
2. Description of Work
FIRE SPRINKLERS
Use
38 HEADS
Valuation $
2100
Extg Sq Ft New/Added Sq Ft F Total Sq Ft �—
# Stories 2
r New r- Add r- Alter r Demo
Check Appropriate Box for Applicant/Notification
Infnrmofinn
r- 3. Owner's Name Last
First F_
Owner's Address
Owner's E-mail Address
City
State F_
Zip Telephoned
F 4. Architect/Designer's Name Last
First Lic. No.F
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
City I
State F_
Zip F_ Telephoned
F- 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. 876004 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 714-476-5370
OFFICE USE ONLY
PERMITNO.
PLAN CHECK NO. G2 L3' �222
TYPE OF CONSTRUCTION
.PC
OCCUPANCY - GROUP
PLAN CHECK FEE $