HomeMy WebLinkAboutF2023-0014 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing
CEDAR ST
Tenant Name NEW RESIDENCE
2. Description of Work
(FIRE SPRINKLERS
28 HEADS
?EWFORT
Worksheet for Fire Permit Application o °� u ; . &
City of Newport Beach - Building Division
a PYT
9*1-0 r Fire Sprinkler r Fire Alarm r Fire Misc
Extg Sq Ft F— New/Added Sq Ft �— Total Sq Ft
r New r Add r Alter I— Demo
Check Appropriate Box for Applicant/Notification
I— 3. Owner's Name Last
Owner's Address
First
Owner's E-mail Address
Floor Suite No
# Units
Use
Valuation $ 2800
# Stories I1
City State F_ Zip F_ TelephoneF_
L'
—
r 4. Arch itecUDesigner's Name Last First I �c,, I
Architect/Designees Address ArchitecNDesigners E-mail Address
City F State F_ ZiP F_ Telephone—
_ r—
r 5. Engineer's Name Last �-'—�
First i Lic. No.I
Engineer's Address Engineer's E-mail Address
City State �— ZIP F__ TelephoneF—
r 6. Contractor's Name Last CASEY
First MONTY Lic. No. 876004 Class C-1gJ
Contractor's Address Contractors 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. f O % �++yyam.,
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP PLAN CHECK FEE $
City LA HABARA State CA Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY PERMIT NO. f O % �++yyam.,
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP PLAN CHECK FEE $