HomeMy WebLinkAboutF2021-0203 - Permit ApplicationPrint Form Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit #w
1. Project Address (Not mailing address)
1620 KINGS RD
Tenant Name ISnell ResiFOROUTAN - SOLTANI RESIDENCE
2. Description of Work
FIRE SPRINKLERS
44 HEADS
Fire Sprinkler r Fire Alarm r Fire Misc
Floor Suite No
Use
# Units
Valuation $ 4400
Extg Sq Ft F New/Added Sq Ft F-- Total Sq Ft F I
Add #Stories FrX New r Alter Demo V-3— S 2
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last
First F_
Owner's Address
Owner's E-mail Address
City
State F_
Zip F TelephoneF_
7 4. ArchitecUDesigner's Name
Last
First F— Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City
State F_
Zip F_ Telephoned
r 5. Engineer's Name Last
First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip r_ 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 Habra
State CA
Zip 9FO631 Telephone 714-476-5370
OFFICE USE ONLY
PERMIT NO. lj7ZO2A
TYPE OF CONSTRUCTION
PLAN CHECK NO. 11sS
OCCUPANCY - GROUP
Z CC _
�7 Z_ PLAN CHECK FEE $