HomeMy WebLinkAboutF2022-0149 - Permit ApplicationWorksheet for Fire Permit Application
PrintEorm Y" City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # fx— Fire Sprinkler F_ Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
325 ALVARDO PL
Tenant Name FELDMAN RESIDENCE
2. Description of Work
FIRE SPRINKLERS
30 HEADS
Extg Sq Ft �— New/Added Sq Ft F Total Sq Ft F
FX_ New I— Add j— Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use
Valuation $ 3,000
# Stories 3
F 3.Owner's Name Last
FirstF
Owner's Address
Owner's E-mail Address
City
State F_ Zip F_ Telephoned
F 4. Architect/Designer's Name
�—
Last First F— Lic. No. I
ArchitecUDesigners Address
Architect/Designers E-mail Address
City
State f Zip r Telephone—
r 5. Engineer's Name Last
First Lic. No.�
Engineers Address
Engineers E-mail Address
City
State F— Zip F Telephone
r 6. Contractor's Name Last CASEY First [MONTY Lic. No. 876004 Class C-16
Contractor's Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City ILA HABARA
State CA Zip 90631 Telephone 714-476-5370�
OFFICE USE ONLY
"
X1,pL� • ���' PERMIT NO. T n �y►0 �r{�
TYPE OF CONSTRUCTION
PLAN CHECK NO. 01tr7 •iya,
OCCUPANCY- GROUP
DZ' •a31fl PLAN CHECK FEE $