HomeMy WebLinkAboutX2022-0334 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
I. Project Address (Not mailing address)
1448 KEYVIEW
Tenant Name ELLISON RESIDENCE
2. Description of Work
FIRE SPRINKLERS
44 HEADS
9
FX Fire Sprinkler j— Fire Alarm r Fire Misc
Extg Sq Ft 7— New/Added Sq Ft F Total Sq Ft
fX New Add F- Alter F- Demo
"JW� MPPrvNrraceDoxTor AppllcanvNOUTICatlon
Floor Suite No
# Units �—
Use
Valuation $ 4400
# Stories I1
F 3. Owner's Name
Last F_ FirstF_
Owner's Address
Owner's E-mail Address
City
State � Zip F_ TelephoneF_
F_ 4. Architect/Designer's
Name Last First F— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City F—
State �— Zip �— Telephoned
F_ 5. Engineer's Name
Last First �®---- Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State Zip �— TelephoneF_
fR 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
"� f, PERMIT NO.
OFFICE USE ONLY AN,ow
TYPE
OF CONSTRUCTION
PLAN CHECK NO. 3 lyl
OCCUPANCY- GROUP
ry} PLAN CHECK FEE $