HomeMy WebLinkAboutF2021-0458 - Permit ApplicationWorksheet for Fire Permit Application
P,. Please print 3 �tFotcopies n-, City of Newport Beach - Building Division
3
Associated Building Permit # r; Fire Sprinkler ['I Fire Alarm [ Fire Misc
1. Project Address
508 ACACIA AVE
Tenant Name TWO UNIT RESIDENCE
2. Description of Work
IRE SPRINKLERS
1 HEADS
Extg Sq Ft � New/Added Sq Ft F Total Sq Ft 7-7
r; New f—, Add F,, Alter r Demo
Check Appropriate Box for Applicant/Notification
r 3.Owner's Name Last J' First
Floor Suite No
# Units r J
Use
Valuation $ 4100
# Stories L
Owner's Address Owner's E-mail Address
I
City State F777Zip Telephone
4. Architect/Designer's Name Last First II Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
I
City State �� Zip �� Telephone
❑ 5. Engineer's Name Last - First F777777 Lic No.
Engineer's Address Engineer's E-mail Address
I
City State 1— Zip —, Telephone
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r16. Contractor's Name Last CASEY First MONTY - Lic. No. 876004 Class C-16
Contractor's Address Contractor's E-mail Address
11 01KINGSTON DR FIREPROOFMC@GMAIL.COM
City LA HABRA State CA Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
TYPE OF CONSTRUCTION
2�"' I 9vv,--A
PERMIT NO.
PLAN CHECK NO. 1422--IMI
OCCUPANCY- GROUP
PLAN CHECK FEE $