HomeMy WebLinkAboutPC2022-2292 - Permit ApplicationWorksheet for Fire Permit Application 9Print Form City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # r Fire Sprinkler F- Fire Alarm F- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
715 NARCISSUS F_
Tenant Name SONIL DUPLEX # Units
2. Description of Work
FIRE SPRINKLERS Use
39 HEADS
Extg Sq Ft F_New/Added Sq r Ft I —Total Sq Ft F_
Valuation $ 3900
r New (— Add (— Alter r Demo # Stories F
Check Appropriate Box for ApplicanVNotification
F 3. Owner's Name
Last First
Owner's Address
Owner's E-mail Address
City
State �— Zip F Telephoned
r 4. Arch itecUDesigner's
I—
Name Last First F_ Lic. No.l
Architect/Designer's Address
_ Architect/Designer's E-mail Address
City
State Zip F— TelephoneF_
F 5. Engineer's Name
Last First F_ Lic No.
Engineer's Address
Engineer's E-mail Address
City
State �— Zip F— Telephone—
r 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 HABARA
State CA Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHE
OCCUPANCY - GROUP
PLAN CHEC EE $