HomeMy WebLinkAboutF2022-0455 - Permit Application.t Form
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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
1740 E OCEANFRONT
Tenant Name NEW RESIDENCE
2. Description of Work
FIRE SPRINKLERS
41 HEADS
Extg Sq Ft F—
New/Added Sq Ft
New F Add r Alter
— Demo
Check Appropriate Box for Applicant/Notification
lnfnrrn *;__
F 3. Owner's Name Last
Owner's Address
jX Fire Sprinkler (— Fire Alarm F Fire Misc
Total Sq Ft
First'
Owner's E-mail Address
city I
State F_Zip _ Zip Telephone
F 4. Architect/Designer's Name Last
Architect/Designer's Address First F
Architect/Designer's E-mail Address
Floor
Suite No
# Units
Use
Valuation $ 4,100
# Stories 1
Lic. No.
City
State �'— Zip
Telephone—
r 5. Engineer's Name Last �—
First F�
Engineer's Address Lic. No.
EngineeYs E-mail Address
City F--
State �— Zip (''�
I �» TelephoneF______
r 6. Contractor's Name Last CASEY
First MONTY Lic. No. 876004
Contractor's Address Class C-16
11101 KINGSTON DR Contractor's E-mail Address
FIREPROOFMC@GMAIL.COM
City LA HABARA State CA
Zip I90631 Telephone 714-476-5370
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY -GROUP
PERMIT NO.
PLAN CHECK NO!�C'ZOZZ—'L�2{o
PLAN CHECK FEE $