HomeMy WebLinkAboutF2021-0374 - Permit ApplicationPrint Form
Please print 3 copies
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
um
Associated Building Permit #
r Fire Sprinkler F_ Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
2408 SANTIAGO DR
F_
F—
Tenant Name FRANCIS RESIDENCE
# Units
�-
2. Description of Work
FIRE SPRINKLERS
Use
34 HEADS
EMg Sq Ft F New/Added Sq Ft �— Total Sq Ft I—
Valuation $ 3400
#Stories
I_
(— r Alter r" Demo
r New Add
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State F— Zip TelephoneF_
r 4. Architect/Designer's Name
Last First Lic. No. �—
Architect/Designer's Address
Architect/Designers E-mail Address
City
State � Zip F Telephoned
F 5. Engineer's Name Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State I Zip F® Telephoned®—_.-
6. Contractor's Name Last CASEY First MONTY Lic. No. 776004 Class F16
Contractors Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABARA
State CA Zip 9FO631 Telephone 714476-5370
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
"� \ PLAN CHECK NO. r
OCCUPANCY - GROUP
PLAN CHECK FEE $