HomeMy WebLinkAboutF2020-0325 - Permit ApplicationPrint Form r—2QZ 0-02&orksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3copies yygGwIsOe by -
Associated Building Permit #
Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
2209 BAYSIDE DR
F—
�—
Tenant Name NEW RESIDENCE
# Units
F-
2. Description of Work
FIRE SPRINKLERS
Use
84 HEADS
Extg Sq Ft � New/Added Sq Ft F Total Sq Ft
Valuation $ 8400
#Stories
FX New j— Add � Alter � Demo
I-
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last
/L��`� 1 �I�
� First
Owner's Address
Owner's E-mail Address
City
State
Zip 71Qis1J Telephone
F— 4. Architect/Designer's Name
Last
First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_
Zip F Telephoned
i— 5. Engineer's Name Last
First 7— Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State
Zip F_ Telephoned
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 HABRA
State CA
Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
PERMIT
X(W
1
, ► w
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
00bIV •
/I PLAN CHECK FEE $