HomeMy WebLinkAboutF2022-0532 - Permit ApplicationWorksheet for Fire Permit Application NEW�Rr
City of Newport Beach - Building Division .,
_5 u r
tsuildingPermit#
jX Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
1821 TAHUNA TERRACE Floor Suite No
Tenant Name IHIGHEIMER RESIDENCE
#Units �-
2. Description of Work
FIRE SPRINKLERS
33 HEADS Use
Extg Sq Ft F — New/Added Sq Ft F— Total Sq Ft I — I Valuation $ 3300
IX New r Add r Alter r Demo I # Stories 17
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last —
First F —
Owner's Address
Owner's E-mail Address
City I State
zip F' TelephoneF�
r 4. Architect/Designer's Name Last �—
Architect/Designees Address
City State
r 5. Engineer's Name Last
Engineer's Address
City
State
First
Lic. No.
Arch�itect/Designer's E-mail Address
zip l rTelephoneF —
First
Lic. No. F�
Engineer's E-mail Address
Zip �— TelephoneF —
r 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 F HABARA State CA Zip 90631
Telephone 714-476-5370
OFFICE USE ONLY PERMIT NO. FZ02 Z -(�cj ?j 2-
TYPE OF CONSTRUCTION PLAN CHECK NO. 1 C Z02-Z,25 yy
OCCUPANCY - GROUP
PLAN CHECK FEE $ —�