HomeMy WebLinkAboutF2021-0007 - Permit ApplicationWorksheet for Fire Permit Application
Pint Fsytrn City of Newport Beach - Building Divisirzal
Please print 3 copies —000— '
Associated Building Permit # FX_ Fire Sprinkler Fire Alarm f—', Fire Misc
1. Project Address
2607 BUNYA ST
mailing address)
Tenant Name IBAKHSHI RESIDENCE
2. Description of Work
FIRE SPRINKLERS
47 HEADS
Extg Sq Ft r— New/Added Sq Ft
)<i New r Add 17 Alter F_ Demo
Check Appropriate Box for Applicant/Notification
Total Sq Ft
Floor Suite No
#Units F77
Use
Valuation $ 4,700
#Stories [2—'
3. Owner's Name Last
!; First F_
Owner's Address
Owner's E-mail Address
City F__
State �—
Zip r— Telephoned
[— 4. Architect/Designees Name
Last First �— Lic. No.
Architect/Designees Address
ArchitecttDesignees E-mail Address
City
State
Zip F__7 Telephoned
rl 5. Engineer's Name Last
First Lic. No.
F
Engineer's Address
Engineer's E-mail Address
City
State
Zip Telephone��'
r6. 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 HABRA
State CA
Zip 90631 Telephone 7144765370
OFFICE USE ONLY
PERMIT NO.UTA vim
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $