HomeMy WebLinkAboutF2020-0482 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
317 E. BAY AVE
Tenant Name NEW RESIDENCE
2. Description of Work
FIRE SPRINKLERS
25 HEADS
Extg Sq Ft r New/Added Sq Ft F
r New r Add r Alter r Demo
L;necK Appropriate Box for Applicant/Notification
Fire Sprinkler r Fire Alarm r Fire Misc
Floor Suite No
# Units F
Use
Valuation $ 2500
Total Sq Ft
# Stories I3
F 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State F—
Zip Telephoned
F 4. Architect/Designer's Name
Last First F— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F—
Zip F— TelephoneF_
F 5. Engineer's Name Last
First 7 Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State I
Zip I— Telephoned
rX 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 90631 Telephone 714-476-5370
OFFICE USE ONLY
^ �+ ��
OV
�1 ' PERMIT NO. OM— + 0
TYPE OF CONSTRUCTION
Y
L
11
PLAN CHECK NO. Z V4 0 r �
OCCUPANCY - GROUP
PLAN CHECK FEE $