HomeMy WebLinkAboutF2022-0236 - Permit ApplicationPrint Form
Worksheet for Fire Permit Application R City of Newport Beach - Building Division �P )
Please print 3 copies
Associated Building Permit # rX Fire Sprinkler`•' (Yj— Fire Alarm / F_ Fire Misc
1. Project Address (Not mailing address)
121 U1, 2103, 2105, 2107 CRESTA DRIVE UNITS 49-52 ft*k6 Z &00
Tenant Name (T J U�
2. Description of Work
(INSTALLATION OF RESIDENTIAL FIRE SPRINKLERS
Extg Sq Ft F— New/Added Sq Ft F— Total Sq Ft 11,688
jX New r Add j— Alter 1— Demo
t.necK Appropriate Box for Applicant/Notification
Floor Suite No
# Units F 4
Use (RESIDENTIAL
Valuation$ $14,745
# Stories I_
F 3. Owner's Name Last F
First F_
Owner's Address
Owner's E-mail Address
city F
State F
Zip �� Telephone[
r, 4. Architect/Designer's Name Last
F-i--.
First F Lic No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City F®�` �
State r®—e-
Zip F_ Telephoned
r 5. Engineer's Name Last
w FirstLic.No.
�—
Engineer's Address
Engineer's E-mail Address
city F—
State F—
Zip �� Telephone[—
rX 6. Contractor's Name Last BISHIP
First JAMIE Lic No. 684600 Class C-16
Contractor's Address
Contractor's E-mail Address
705 E. HARRISON STREET #200
jamieb@fireinc.net
City CORONA
State CA
Zip 92879 Telephone 951-272-2522
OFFICE USE ONLY
PERMIT NO. 2
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
�1 Vi(� 0 PLAN CHECK FEE $