HomeMy WebLinkAboutF2022-0148 - Permit Applicationrint Fo
Worksheet for Fire Permit Application o�EW�Re
City of Newport Beach -Building Division
lease print 3 copies r D n--0
Associated Building Permit # FX—j Fire Sprinkler F_ Fire Alarm (— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2505 CRESTVIEW DR
Tenant Name DELARINGA RESIDENCE
2. Description of Work
FIRE SPRINKLERS
33 HEADS
Extg Sq Ft New/Added Sq Ft Total Sq Ft
iKi New r Add r Alter [— Demo
Check Appropriate Box for ApplicantlNotification
# Units
Use �—
Valuation $ 3300
# Stories I
r 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State �— Zip Telephone
ci 4. Architect/Designer's Name Last
First'' Lic. No.
Architect/Designer's Address
ArchitecNDesignets E-mail Address
1777
City
State F—' Zip , TelephoneF
r— 5. Engineer's Name Last
First Lic. No.7;
Engineer's Address
Engineer's E-mail Address
City �—
State ! Zip Telephone
F
FX_! 6. Contractor's Name Last CASEY FirstFM 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�76-5370
OFFICE USE ONLY
U�b�7,DZ PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. ojOc}
OCCUPANCY- GROUP
PLAN CHECK FEE $