HomeMy WebLinkAboutF2022-0189 - Permit ApplicationWorksheet for Fire Permit Application 9Print Form
City of Newport Beach -Building Division
Please print 3 copies
Associated Building Permit # r Fire Sprinkler r Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address)
707 SAINT JAMES ROAD
Tenant Name IRWINRESIDENCE
2. Description of Work
FIRE SPRINKLERS
59 HEADS
Extg Sq Ft F New/Added Sq Ft F_ Total Sq Ft
!X New r Add F_ Alter I— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
Use
Valuation $ 5900
# Stories I3
r 3. Owner's Name
Last I
First I
Owner's Address
Owner's E-mail Address
City
State F_
Zip F_ Telephoned
I 4. Arch itect/Designees Name Last
First �— Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �—
Zip F_ Telephone
I— 5. Engineer's Name
Last �—
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State �
Zip F_ Telephoned
FX-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 HABARA
State CA
Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
PERMIT NO. V?Aln2Z_4I'q
b�
TYPE OF CONSTRUCTION
PLAN CHECK NO. 'yam
OCCUPANCY - GROUP
PLAN CHECK FEE $