HomeMy WebLinkAboutF2023-0241 - Permit ApplicationPrint Form Worksheet for Fire Permit Application o 9m
City of Newport Beach - Building Division c
Please print 3 copies
Associated Building Permit #
r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1736ANTIGUA
#Units F
Tenant Name DOWNING
RESIDENCE
2. Description of Work
FIRE SPRINKLERS
Use
28 HEADS
Valuation $ 2800
Extg Sq Ft � New/Added Sq FtTotal Total Sq Ft
# Stories
r New F—AddF-AlterF_Demo
Check Appropriate Box for Applicant/Notification
InFnrm n4'nn
r 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State F-- Zip F— Telephoned
F_ 4. Arch itect/Designer's Name Last
First Lic.
No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip F_ TelephoneF_
F_ 5. Engineer's Name Last
First �— Lic.
No.
Engineer's Address
Engineer's E-mail Address
City �—
State I— Zip F_ Telephone—
r 6. Contractor's Name Last CASEY
First MONTY Lic. No. 876004
Class F&I6
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA Zip 9FO631 Telephone 714-476-5370
"3"02L I
OFFICE USE ONLY
PERMITNO.
P12023" tz3y
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $