HomeMy WebLinkAboutF2022-0551 - Permit ApplicationWorksheet for Fire Permit Application °�"`"'°Ra
Print Form
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit #
(K Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
314 EVENING CANYON
F
�-
Tenant Name NEW RESIDENCE
# Units
�-
2. Description of Work
FIRE SPRINKLERS
Use
52 HEADS
Extg Sq Ft New/Added Sq Ft Total Sq Ft
Valuation $ 5200
# Stories
12
X New 7- Add r Alter j- Demo
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State
Zip F Telephoner—
F 4. Architect/Designer's Name
Last FirstF—Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
City
State F_
Zip [_ Telephoner---
F 6. Engineer's Name Last
First Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F Telephoned
FX-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.
TYPE OF CONSTRUCTION
PLAN CHECK NO�ZZ'q2
OCCUPANCY - GROUP
PLAN CHECK FEE $