HomeMy WebLinkAboutF2020-0309 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies Ou •,ne it
Associated Building Permit # (x Fire Sprinkler F_ iree A arm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
3406 MARCUS F F—
Tenant Name NEW RESIDENCE # Units F-
2. Description of Work
Use
FIRE SPRINKLERS
33 HEADS
Extg Sq Ft F— New/Added Sq Ft F Total Ft
Valuation $ 3300
Sq
#Stories I_
FX_ New r Add r Alter (— Demo
Check Appropriate Box for ApplicantilNotification
r 3. Owner's Name Last
First F—
Owner's Address
Owner's E-mail Address
City
State F_
Zip F_ Telephone
r 4. Architect/Designoes Name Last
First [— Lic. No. �—
Architect/Designees Address
Architect/Designer's E-mail Address
City
State F_—
Zip F— Telephone�—
F 5. Engineer's Name Last
�—
First �— Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F Telephoned
r 6. Contractor's Name Last ICASEY
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 90631 Telephone 7144 476-5370
OFFICE USE ONLY
PERMIT NO. • O
TYPE OF CONSTRUCTION
PLAN CHECK NO.
kw``V -1• 3V V
1
OCCUPANCY- GROUP 2 PLAN CHECK FEE $