HomeMy WebLinkAboutF2022-0211 - Permit ApplicationW,or°ftv5�loot for FIve G�eU�fffltit A, PpHcafl n
Print Form �
City of Newport Beach - Building (Division
Please print 3 copies z L iJ U L cv
Associated Building Permit # _ � � 7 �,C (X Fire Sprinkler I -. Fire Alarm Fire Misc
cite No
1. Project Address (Not mailing address) Floor
12001 PORT RAMSGATE PIL
Tenant Name IHAYES RESIDENCE #Units I
2. Description of Work
FIRE SPRINKLERS
45 HEADS
Extg Sq Ft New/Added Sq Ft Total Sq Ft
FX New I Add F— Alter F Demo
Check Appropriate Box for Applicant/Notification
Use I
Valuation $ [4500
# Stories i2
F" 3. Owner's Name Last .
First
Owner's Address
(Owner's E-mail Address
City State
Zip' Telephone'
4. Architect/Designer's Name Last
First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City I State
Zip F Telephonel-
0
5. Engineer's Name Last
First i Lic. No.
Engineer's Address
Engineer's E-mail Address
City State
Zip Telephone
r x 6. Contractor's Name Last CASEY
First IMONTY Lic. No. 876004 Class C-16
Contractor's Address
Contractor's E-mail Address
11101 KINGSTON DR
JFlREPROOFMC@GMAIL.COM
City LA HABARA State
CA
Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
PERMIT NO.�c/Zi G� C
TYPE OF CONSTRUCTION
PLAN CHECK NO. (050 - �Z
OCCUPANCY - GROUP
PLAN CHECK FEE $