HomeMy WebLinkAboutF2022-0629 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application p4�`'°a
City of Newport Beach - Building Division � ^g
(K Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
900 ALMOND PL
Tenant Name SMITH RESIDENCE
2. Description of Work
FIRE SPRINKLERS
39 HEADS
Extg Sq Ft I-- New/Added Sq Ft F— Total Sq Ft
Ix New F— Add I— Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use
Valuation $ 3900
# Stories 12
i— 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City I
State F_
Zip F_ Telephoned
1- 4. Arch itectIDesig ner's Name Last
First Fs-- Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_
Zip F_ Telephone
r 5. Engineer's Name Last
First I Lic. No.I
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F_ Telephoned
r 6. Contractor's Name Last CASEY
First MONTY Lic. No. 8760 44 Class C-16
Contractor's Address
Contractors E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABARA
State CA
Zip 90631 Telephone 714476-5370
a
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $