HomeMy WebLinkAboutF2022-0311 - Permit ApplicationPrint_ Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing
217 GOLDENROD AVE
Tenant Name WEBB RESIDENCE
2. Description of Work
FIRE SPRINKLERS
38 HEADS
Worksheet for Fire Permit Application Or
City of Newport Beach - Building Division
Q Z� CJJ r Fire Sprinkler r Fire Alarm r Fire Misc
Extg Sq Ft 7— New/Added Sq Ft F— Total Sq Ft F_
r New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
-.: _ .-
Floor Suite No
# Units F-
3y
Use w0 S-Pr2
Valuation $ 3800
# Stories I -
F 3. Owner's Name Last
1
First F
Owner's Address
Owners E-mail Address
City I_�-
State �—
Zip �- Telephone�—
F 4. Architect/Designer's Name
Last First F Lic. No. �-
ArchitecUDesigners Address
Architect/Designer's E-mail Address
City �—
State ��
Zip �— TelephoneF—
c 5. Engineer's Name Last
First r--_
Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City
State F—
Zip �— TelephoneF_
6. Contractor's Name Last CASEY
First MONTY Lic. No. 876004 Class C-16
Contractors 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
�'� l
D 0 V � PERMIT NO. :r u -
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $