HomeMy WebLinkAboutF2021-0033 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing a
1418 E. BALBOA BLVD
Tenant Name NIJJAR RESIDENCE
2. Description of Work
FIRE SPRINKLERS - 35 HEADS
Worksheet for Fire Permit Application um
City of Newport Beach - Building Division
Fire Sprinkler r Fire Alarm r Fire Misc
Extg Sq Ft F -- New/Added Sq Ft F
r New r Add F_ Alter i— Demo
Check Appropriate Box for Applicant/Notification
Total Sq Ft �—
Floor Suite No
�I units F
Use
Valuation $ 3500
# Stories I3
r 3. Owner's Name Last F
First F_
Owner's Address
Owner's E-mail Address
City I
State F
Zip F Telephoner
s 4. Arch itect/Designer's Name
Last
First F— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City �
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
FX 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 HABRA
State CA
Zip 9FO631 Telephone F714-476-5370
OFFICE USE ONLY
(;, ��J�/� PERMIT NO.
r
TYPE OF CONSTRUCTION
LC Lk1
,U,
PLAN CHECK NO.
r7
L
OCCUPANCY - GROUP
j,
��. PLAN CHECK FEE $