HomeMy WebLinkAboutF2021-0530 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
1510 SANDCASTLE DR
Tenant Name IVOVAN RESIDENCE
2. Description of Work
HEADS
Q Fire Sprinkler F_ Fire Alarm (— Fire Misc
Extg Sq Ft F— New/Added Sq Ft [ Total Sq Ft
F New F Add (— Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F—
Use
Valuation $ 2500
# Stories F
r 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
city �
State I
Zip [_ TelephoneF_
F 4. Architect/Designees Name
Last �—
FirstF Lic. No.
ArchitectlDesigner's Address
Architect/Designers E-mail Address
City �--
State F—
Zip F Telephoned
F_ 5. Engineer's Name Last
r—
FirstF Lic. No. F_
Engineer's Address
Engineers E-mail Address
City �
State �—
Zip F_ TelephoneF—
GZ 6. Contractor's Name Last CASEY First MONTY Lic. No. 876004 Class C-16
Contractor's Address
Contractors E-mail Address
_ _ _
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA
Zip g0631 Telephone 14-476-5370
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
GG
PLAN CHECK NO. ✓ T04.y
OCCUPANCY - GROUP
PLAN CHECK FEE $