HomeMy WebLinkAboutF2021-0451 - Permit Applicationr�ttor Worksheet for Fire Permit Application
��� ri'1 �� City of Newport Beach - Building ```Division
Please print 3 copies q yr�:%I O��
Associated Building Permit # Q [I Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
2037 MIRAMAR DR
Tenant Name PAUL RESIDENCE
#Units
2. Description of Work
FIRE SPRINKLERS
Use
24 HEADS
Valuation $
2400
Extq Sq Ft F New/Added Sq Ft
Total Sq Ft
-- --
# Stories 2 �
New r, Add r Alter r', Demo
Check Appropriate Box for ApplicantlNotification
r
3. Owner's Name Last First
Owner's Address Owner's E-mail Address
f
City State Zip I Telephone
-14. Architect/Desi ner's Name Last - -- — ! First �' Lic. No. JI
F-1 9 i,
Architect/Designees Address Architect/Designer's E-mail Address
City - - State ! J Zip 1 Telephone
F- 5. Engineer's Name Last First I Lic. No. F777
Engineer's Address Engineer's E-mail Address
City State Zip F Telephoned
F- 6. Contractor's Name Last CASEY First MONTY Lic. No. 876004 ClassC-16
Contractor's Address Contractor's E-mail Address
1101 KINGSTON DR FIREPROOFMC@GMAIL.COM
City LA HABRA i State CA77 Zip 80631 - I Telephone 714 476-5370
OFFICE USE ONLY IY/ PERMIT NO. �M TT
TYPE OF CONSTRUCTION '�j l U / PLAN CHECK NO.
OCCUPANCY- GROUP PLAN CHECK FEE $