HomeMy WebLinkAboutF2022-0158 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application q
City of Newport Beach -Building Division
Fire Sprinkler i— Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
1748 PLAZA DEL NORTE
F
F_
Tenant Name PLAZA DEL NORTE RESIDENCE
# Units
F
2. Description of Work
FIRE SPRINKLERS
Use---i
33 HEADS
Extg Sq Ft �— New/Added Sq Ft Total Sq Ft—
Valuation $ 3300
# Stories
13
Ix New r Add F Alter F_ Demo
Check Appropriate Box for Applicant/Notification
I nfn �m.4i nn
F 3. Owner's Name
Last FirstF
Owner's Address
Owner's E-mail Address
City �
State F Zip Telephone
('' 4. Architect/Designer's
Name Last First Lic. No.
Architect/Designer's Address
ArchitecVDesigners E-mail Address
City I
State F_ Zip F Telephoned
{-" 5. Engineer's Name
Last � First F_ Lic. No. �—
Engineer's Address
Engineers E-mail Address
City
State F Zip F_ Telephone—
r 6. Contractor's Name
Last CASEY First MONTY Lic. No. 876004 Class C-16
Contractors Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABARA
State CA Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
W�- �, U PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO. 01 3
OCCUPANCY -GROUP
PLAN CHECK FEE $