HomeMy WebLinkAboutF2022-0477 - Permit Application_-Print Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
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r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
319 VIA LIDO SOUD
Tenant Name CREED RESIDENCE
2. Description of Work
FIRE SPRINKLERS
38 HEADS
Extg Sq Ft New/Added Sci Ft F -- Total Sq Ft
r New F- Add F Alter r Demo
check Appropriate Box for Appl1cant/Notification
L.F.. ..a:..
Floor Suite No
# Units
Use
Valuation $ 3800
# Stories i2
r 3. Owner's Name Last
First �—
Owner's Address
Owner's E-mail Address
Cih'
State F
Zip F Telephoned--
- 4. Architect/Designer's Name Last
First �— Lic. No. �—
ArchitectlDesigners Address
Architect/Designer's E-mail Address
City
State F_
Zip F_ Telephoned
r 5. Engineer's Name Last F—
� First F— Lic. No. F_.---
Engineer's Address
Engineers E-mail Address
City
State F_
Zip [_ TeiephoneF_
r 6. Contractor's Name Last CASEY
First MONTY Lic. No. 876004 Class C-16
Contractor's Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City PHABARA
State CA
Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
TYPE OF CONSTRUCTION
PERMIT NO,
PLAN CHECK N�
OCCUPANCY - GROUP
PLAN CHECK FEE $
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