HomeMy WebLinkAboutF2022-0030 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
15� Fire Sprinkler r Fire Alarm r— Fire Misc
UR
1. Project Address (Not mailing address)
Floor
Suite No
74 LINDA ISLE
F
F_
Tenant Name IMUMMA RESIDENCE
#Units
F
2. Description of Work
Use I
FIRE SPRINKLERS
46 HEADS
Extg Sq Ft F New/Added Sq Ft F_Total Sq Ft
Valuation $ 4600
# Stories
r New (— Add r— Alter F_Demo
Check Appropriate Box for Applicant/Notification
Infnrmnfinn
F 3. Owner's Name Last
I ___1
First
Owner's Address
Owner's E-mail Address
City
State F_— Zip Telephoned
r 4. Architect/Designer's Name
Last First F_ Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City
State F Zip [_ Telephoned
r 5. Engineer's Name Last
First 1 Lic. No. �—
Engineer's Address
Engineer's E-mail Address _
City
State F_Zip 7 TelephoneF
(x 6. Contractor's Name Last CASEY First MONTY Lic. No. 676004 Class F-16
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
iFIREPROOFMC@GMAIL.COM
City LA HABARA
State CA Zip 907631 Telephone 714-476-537n0
OFFICE USE ONLY
�IV01W
�L � PERMIT NO. 1
TYPE OF CONSTRUCTION
Q
PLAN CHECK NO. 0 i 'u'�1L
OCCUPANCY- GROUP
%� . OZSb PLAN CHECK FEE $