HomeMy WebLinkAboutF2021-0459 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
(X Fire Sprinkler r Fire Alarm F Fire Misc
1. Project Address (Not mailing address)
515 JASMINE AVE
Tenant Name JASMINE LLC
2. Description of Work
FIRE SPRINKLERS
38 HEADS
Extg Sq Ft New/Added Sq Ft
rX New F_ Add F_ Alter F_ Demo
Check Appropriate Box for Applicant/Notification
FSuite No
I I—
# Units F—
Use
Valuation $ 13800
Total Sq Ft �-�-•-'
# Stories
F 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City �v
State Zip Telephone
F 4. Architect/Designer's Name
Last First F Lic. No. �—
Architect/Designer's Address
F7
Architect/Designer's E-mail Address
I -
City
State Zip Telephone
r 5. Engineer's Name Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State �- Zip Telephone
jx 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 HABRA
State CA Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
x�ZO''� PLAN CHECK NO.
l
OCCUPANCY- GROUP
n �PLAN CHECK FEE $