HomeMy WebLinkAboutF2023-0283 - Permit ApplicationPrint Form pp o ( m
Worksheet for Fire Permit A lication
Please print 3 copies -_ EWvpR
City of Newport Beach - Building Division a i; ' I�
Associated Building Permit # F r Fire Sprinkler r- Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
3210OCEAN FRONT
Tenant Name IFEUERSTEIN RESIDENCE #Units F—
2. Description of Work
FIRE SPRINKLERS Use
24 HEADS
Valuation $ 2400
Extg Sq Ft �— New/Added Sq Ft �— Total Sq Ft �—
r New r Add r Alter r Demo # Stories I2
vriot,n �NNruPUldlU Cox Tor Applicant/Notification
I- 3. Owner's Name Last
First F—
Owner's Address
Owner's E-mail Address
City
State
F—
Zip F_ Telephone
r 4. ArchitectlDesigner's Name Last
First F— Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
F—
Zip [_ Telephone—
r 5. Engineer's Name Last
First— Lic. No.�
Engineer's Address
Engineer's E-mail Address
City
State
Zip �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
PERMIT NO. O
TYPE OF CONSTRUCTION
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PLAN CHECK NO. `LV3" HL,
OCCUPANCY- GROUP
>, 7 l PLAN CHECK FEE $
01
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iC�Si�2 - lO$ 6