HomeMy WebLinkAboutF2021-0378 - 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)
1401 SANTIAGO DR
Tenant Name SANTIAGORESIDENCE
2. Description of Work
FIRE SPRINKLERS
46 HEADS
r Fire Sprinkler F_ Fire Alarm r Fire Misc
Extg Sq Ft
F_
New/Added Sq Ft �—
Total Sq Ft
r New
F_ Add
I— Alter F_ Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use
Valuation $ 4600
# Stories
F- 3. Owner's Name Last
First F
Owner's Address
Owner's E-mail Address
City
State F Zip F__ Telephone—
r 4. Arch itect/Designer's Name Last
First F Lic. No.
�—
ArchitecVDesigner's Address
Architect/Designer's E-mail Address
City
State F— Zip F_— Telephoned
F_ 5. Engineer's Name Last
First F Lic. No.
�—
Engineer's Address
Engineer's E-mail Address
City
State F— Zip ri Telephone—
r 6. Contractor's Name Last CASEY
First MONTY Lic. No. 676004 Class
C-16
Contractor's Address
Contractor's E-mail Address
FIREPROOFMC@GMAIL.COM
FIREPROOFMC@GMAIL.COM
City LA HABARA
State CA Zip 90631 Telephone 7144765370
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE