HomeMy WebLinkAboutF2022-0291 - 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)
2401 WINDWARD LANE
Tenant Name NEW RESIDENCE
2. Description of Work
FIRE SPRINKLERS
33 HEADS
Fire Sprinkler r Fire Alarm F_ Fire Misc
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft
New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
Use
Valuation $ 3300
# Stories
3. Owner's Name Last
-
First
Owner's Address
Owner's E-mail Address
City State F-
ZipF Telephoner-
4. Arch itect/Designer's Name Last
First F_ Lic. No.
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
City State rJ
Zip r Telephoner--
r S. Engineer's Name Last
First F— Lic No.
Engineer's Address
Engineer's E-mail Address
City State F—
Zip r-- TelephoneF_
rX 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 LA HABARA State CA
Zip 90631 Telephone 714 476-5370
' 02AI
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. IftitUa
OCCUPANCY- GROUP
PLAN CHECK FEE $