HomeMy WebLinkAboutF2023-0549 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
(x Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
8 SIDNEY BAY
F_
�
Tenant Name ROBINSON RESIDENCE
# Units
2. Description of Work
FIRE SPRINKLERS
Use
39 HEADS
Valuation $
3900
Extg Sq Ft �— New/Added Sq Ft � Total Sq Ft
# Stories
2
r New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Inf~r n+;nn
r 3.Owner's Name Last
First F_
Owner's Address
Owners E-mail Address
City
State F___
Zip F Telephoned
I— 4. Architect/Designer's Name Last
First F_ Lic. No.
Architect/Designer's Address
Architect/Designers 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 7— Telephoned
r 6. Contractor's Name Last CASEY
First MONTY Lic. No. 876004 Class C-16
Contractors Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
City LA HABRA
State CA
Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
PERMIT NO.
"Z
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $