HomeMy WebLinkAboutF2023-0076 - Permit ApplicationWorksheet for Fire Permit Application o �EWPR
City of Newport Beach - Building Division o :
Please print 3 copies
Associated Building Permit # Z�p 6 iX Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
11410 W.00EANFRONT
Tenant Name COOK RESIDENCE
2. Description of Work
FIRE SPRINKLERS
36 HEADS
Extg Scl Ft New/Added Sol Ft Total Scl Ft
New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use
Valuation $ 3600
# Stories F
r 3.Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State F_ Zip F Telephone
r 4. Architect/Designer's Name Last
First— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_— Zip I Telephone—
r 5. Engineer's Name Last
First I Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State Zip F_ Telephone_
76004 Class 16
r 6. Contractor's Name Last CASEY First MONTY Lic. No. 8C-
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
PERMIT NO. _7
OFFICE USE ONLY
TYPE OF CONSTRUCTION
PLAN CHECK NO.G
OCCUPANCY - GROUP
( 50 10 PLAN CHECK FEE $