HomeMy WebLinkAboutF2021-0185 - Permit Application,ran;. rorm _
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
2315 LAUREL PL
Tenant Name AULT RESIDENCE
2. Description of Work
FIRE SPRINKLERS
38 HEADS
Extg Sq Ft I New/Added Sq Ft F
FX New j- Add j— Alter r Demo
Check Appropriate Box for Applicant/Notification
u
Fire Sprinkler r Fire Alarm r- Fire Misc
Floor Suite No
# Units F
Use
Valuation $ 3800
Total Sq Ft �--
# Stories F
F 3. Owner's Name Last i—
First F-
Owner's Address
Owner's E-mail Address
City
State F_Zip F Telephoner--_
F 4. Arch itect/Designer's Name
Last First Lic. No. F
Architect/Designees Address
Architect/Designer s E-mail Address
City
State �- Zip Telephoned
F 5. Engineer's Name Last
First I Lic. No. -® -
Engineer's Address
Engineer's E-mail Address
City
State F— Zip F_ 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
PERMIT NO. i�/sue
71J
TYPE OF CONSTRUCTION —
PLAN CHECK NO. L'_/U'
OCCUPANCY - GROUP
fa /� � -PLAN CHECK FEE $
�.Zir '7/A 7.j U K-