HomeMy WebLinkAboutF2021-0160 - Permit ApplicationL "tint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Nol
Worksheet for Fire Permit Application
i -� City of Newport Beach - Building Division
(x Fire Sprinkler r Fire Alarm r Fire Misc
Floor Suite No
1836 SANTIAGO DR I I
Tenant Name SANTIAGO RESIDENCE
2. Description of Work
FIRE SPRINKLERS
38 HEADS
Extg Sq Ft New/Added Sq Ft Total Sq Ft
# Units F
Use
Valuation $ 3800
# Stories 2
(X New (- Add [- Alter F-Demo
Check Appropriate Box for Applicant/Notification
r- 3. Owner's Name
Last First
Owner's Address
Owner's E-mail Address
City �---
State F Zip F— Telephoned---
r- 4. Architect/Designer's Name Last First F_ Lic. No.
F Ys
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F— Zip F__ Telephone
r- 5. Engineer's Name
Last First 7 Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F— Zip I Telephoned'
[x 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 HABRA
State CA Zip 9FO631 Telephone 714-476-5370
OFFICE USE ONLY
n�
CU ` PERMIT NO. r'z0a
- 0 I r° 0
TYPE OF CONSTRUCTION
PLAN CHECK NO. J
OCCUPANCY - GROUP
/�') ��. q�G� PLAN CHECK FEE $