HomeMy WebLinkAboutF2023-0327 - Permit ApplicationI Print Form;
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
r Fire Sprinkler r Fire Alarm r- Fire Misc
1. Project Address (Not mailing address)
250 COLTON
Tenant Name DEFREITAS RESIDENCE
2. Description of Work
FIRE SPRINKLERS
23 HEADS
Extg Sq Ft F-- New/Added Sq Ft I— Total Sq Ft
r New F_ Add r Alter F_ Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
2 # Units
Use
Valuation $ 2300
# Stories ;23
I-- 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State F_ Zip I- Telephone7—
I— 4. ArchitecUDesigner's Name Last
First Lic. No.F
Architect/Designer's Address
Architect/Designer's E-mail Address
City I
State F__ Zip I Telephone—
r 5. Engineer's Name Last
First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F__ Telephoned
Ix 6. Contractor's Name Last CASEY
First MONTY Lic. No. 676004 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. fMIZ - b-527
TYPE OF CONSTRUCTION
�\ �/� PLAN CHECK NO.
OCCUPANCY - GROUP
O 7 Q Or PLAN CHECK FEE $
I