HomeMy WebLinkAboutF2022-0066 - Permit ApplicationPrint Form ... Worksheet for Fire Permit Application
Please print 3 copies � � '.,i�
W'°R,
...
City of Newport Beach - Building Division z
Associated Building Permit # Z FX_ Fire Sprinkler T- Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address)
127 E BAY AVE
Tenant Name NEW RESIDENCE
2. Description of Work
FIRE SPRINKLERS
28 HEADS
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft
TX New F Add F Alter F_ Demo
Check Appropriate Box for Appiicant/Notif!cation
Floor
Suite No
# Units
F
Use �� U
Valuation $ 2800
# Stories I1
3
T- 3. Owner's Name Last
First F_
Owner's Address
Owner's E-mail Address
City
State F_
Zip r— Telephoned
4. Architect/Designer's Name Last I
First I Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
City I
State F_
Zip F_ Telephoned
F_ 5. Engineer's Name Last
First F _—_,_. Lic No. �—
Engineer's Address
Engineer's E-mail Address
City �
State F_
Zip F_ Telephoned
Tx 6. Contractor's Name Last ICASEY
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. '�- Z �� -
TYPE OF CONSTRUCTION
PLAN CHECK NO. ('i
OCCUPANCY - GROUP
PLAN CHECK FEE $