HomeMy WebLinkAboutF2022-0274 - Permit ApplicationWorksheet for Fire Permit Application
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..._..Print Form....',.,
City of Newport Beach - Building Division
Please print 3 copies �oPY,r
Associated Building Permit # V. (� 2 t 1 GI 7 r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
413 EDGEWATER PL
Tenant Name FLUTER RESIDENCE
2. Description of Work
FIRE SPRINKLERS
32 HEADS
Extg Sq Ft F_
New/Added Sq Ft 7— Total Sq Ft
fX New F- Add F Alter r Demo
�+n Ci,n /APJA Upna[e aox Tor AppllcarnINOtincati on
Floor
Suite No
# Units
Use I 1�,,3 ( r -1
Valuation $ 3200
# Stories I-
r 3. Owner's Name Last F—
First F—
Owner's Address
Owner's E-mail Address
cityF—
State
Zip I TelephoneF_
F 4. Arch itecUDesigner's Name Last
First F— Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State I
Zip F— Telephoned-
---F 5. Engineer's Name Last F
FirstFa,i-_ Lic No.
Engineer's Address
Engineer's E-mail Address
City
State F_—
Zip F_ TelephoneF_
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. _��i�%%L — D? 7G/
TYPE OF CONSTRUCTION
PLAN CHECK NO. �3<
OCCUPANCY - GROUP
PLAN CHECK FEE $