HomeMy WebLinkAboutF2023-0265 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit#
1. Project Address (Not mailing
1869 SANDCASTLE DR
Tenant Name COHEN RESIDENCE
2. Description of Work
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
(9
r Fire Sprinkler I— Fire Alarm F_ Fire Misc
FIRE SPRINKLERS
61 �jtco
Extg Sq Ft F— New/Added Sq Ft F Total Sq Ft
r New r- Add I— Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F—
Use
Valuation $ 6000
# Stories I2
r- 3.Owner's Name
Last First F_
Owner's Address
Owner's E-mail Address
City
State � Zip �— Telephoned
r" 4. Architect/Designer's
Name Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F— Zip F— Telephoned
(— 5. Engineer's Name
Last First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F_ Telephoned
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
f ZOZ,� L 6S
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP
Q V v� PLAN CHECK FEE $
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