HomeMy WebLinkAboutF2023-0501 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing
1821 BELLIS ST
Tenant Name CRONE RESIDENCE
2. Description of Work
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
r Fire Sprinkler r Fire Alarm r Fire Misc
FIRE SPRINKLERS
29 HEADS
Extg Sq Ft F_ New/Added Sq Ft F— Total Sq Ft
IXNew j- Add j- Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
Use
Valuation $ 2900
# Stories
r 3.Owner's Name Last
First F—
Owner's Address
Owner's E-mail Address
City _ _- -- _ - _ _ - _
State F— Zip F— Telephoned
F_ 4. Architect/Designees Name Last
First F Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
CiTy
State Zip F Telephoned
[j 5. Engineer's Name Last
First F_ Lic. No. F__
Engineers Address
Engineer's E-mail Address
City
State � Zip F—, Telephoned
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. FZOZ -{DSO
TYPE OF CONSTRUCTION —
PLAN CHECK NO. PCza�3_ 2509
OCCUPANCY - GROUP
PLAN CHECK FEE $