HomeMy WebLinkAboutF2021-0142 - Permit Application��
Please print 3 copies
Associated Building Permit #
1. Project Address (Not
PROSPECT
Worksheet for Fire Permit Application �EW�R,
City of Newport Beach - Building Division
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FZ021_Oly2 Cq<,FaRNP
-- - IX_, Fire Sprinkler ri Fire Alarm
- -- [Fire Misc/L
Tenant Name PHELPS RESIDENCE
2. Description of Work
CDDjh1W, r-,
HEADS
FIca Suite No
ITV i L-HWEST #Units
Extg Sq Ft New/Added Sq Ft 7 ' Total Sq Ft �— I
CXi New [' Add ❑Alter
Demo
Check Appropriate Box for Applicant/Notification
r7 3. Owner's Name Last
Owner's Address ----- First -- j
City -- —_- -',
- - - State
r 4. Architect/Designer's Name
Use
Valuation $ 3200
# Stories 3
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Owner's E-mail Address
---
Zip _ Telephone--
- ---
Last
Architect/DesignersAddress --- -----
--
city
---- State
F7 5. Engineer's Name
Firstl
Engineer's E-mail Address - -"
r
Zip
F _Telephone-!
[XI6. Contractor's Name Last CASEY
First MONTY - - Lic. No. i876004 Contractor's Address -- - -- [ Class C-16
-- - ----i
1101 KINGSTON DR Contractor's E-mail Address
_-.--_.-
- FIREPROOFMC@GMAIL COM
City LA HABRA
State CA - - ---
- _ ' Zip 90631 Telephone 714-476
First Lk, No.
Architect/Designer's E-mail Address
Zip __77 Telephone
Last
Engineer's Address --- - --- ----- _"--'
State �-
City - _— - 1
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
PERMIT NO.
PLAN CHECK NO. O • Zp yi
PLAN CHECK FEE S