HomeMy WebLinkAboutX2021-0117 - Permit ApplicationPrint Form
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Associated Building Permit #
-C 202(-oii7
Worksheet for Fire Permit Application o EWE
City of Newport Beach - Building Division
V 1 l / r Fire Sprinkler I— Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address)
ROYAL ST GEORGE
Tenant Name WALKER RESIDENCE
2. Description of Work
FIRE SPRINKLERS
72 HEADS
Extg Sq Ft F— New/Added Sq Ft F— Total Sq Ft
New I— Add ( Alter F_ Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units I
Use
Valuation $ 7200
# Stories I1
r 3. Owner's Name Last—�
First F---
Owner's Address
Owner's E-mail Address
City �
State �— Zip �— Telephone
F- 4. Architect/Designer's Name
LastFirst F_ Lic. No. �
Architect/Designer's Address
Architect/Designer's E-mail Address
City �—
State F_ Zip F_ TelephoneF_
(— 5. Engineer's Name Last
First F_ Lic No. �—
Engineer's Address
Engineer's E-mail Address
City
State �— Zip F_ TelephoneF_
IX 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 HABARA
State CA Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
PERMIT NO. -e�
TYPE OF CONSTRUCTION
PLAN CHECK NO. -Li(
OCCUPANCY- GROUP
PLAN CHECK FEE $