HomeMy WebLinkAboutF2022-0402 - Permit ApplicationPrint Form Worksheet for Fire Permit Application o@
City of Newport Beach - Building Division � _ . R
Please print 3 copies
Associated Building Permit #
r Fire Sprinkler F— Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2000 W.00EANFRONT 3— 3—
Tenant Name LIU RESIDENCE # Units �-
2. Description of Work
FIRE SPRINKLERS
Use
26 HEADS
Extg Sq Ft [_ New/Added Sq Ft F Total Sq Ft F_
Valuation $ 2600
# Stories I3
(X New (— Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Infnrm�finn
F— 3. Owner's Name Last
First [—
Owner's Address
Owner's E-mail Address
City State
Zip F Telephoned
(_ 4. Architect/Designer's Name Last
I—_
First �— Lic. No.l
Architect/Designer's Address
Architect/Designer's E-mail Address
City I State
F_
Zip F_ Telephone
F— 5. Engineer's Name Last
First F_Lic No.
Engineer's Address
Engineer's E-mail Address
City State
F
Zip 3— Telephone[
IX 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 9F0631 Telephone 714-476-5370
OFFICE USE ONLY
PERMIT NO.ZyQ�.Z OyOZ
TYPE OF CONSTRUCTION
PLAN CHECK NO.!`Zd22�'
OCCUPANCY - GROUP
PLAN CHECK FEE $