HomeMy WebLinkAboutF2024-0037 - Permit ApplicationWorksheet for Fire Permit Application �g
Print Form City of Newport Beach - Building Division
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Please print 3 copies
Associated Building Permit # FX_ Fire Sprinkler F_ Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
218 E OCEANFRONT
Tenant Name JENKINS RESIDENCE
2. Description of Work
FIRE SPRINKLERS
28 HEADS
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft
New F_ Add F_ Alter F_ Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units �—
Use
Valuation $ 2800
# Stories I2
r 3. Owner's Name Last
First F
Owner's Address
Owner's E-mail Address
City _
State F—
Zip F_ Telephoned—
r- 4. Architect/Designer's Name
Last
First F— Lic. No. F—
Architect/Designer's Address
Architect/Designer's E-mail Address
City �—
State F
Zip F Telephone
r 5. Engineer's Name Last
First Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State 7—
Zip F— Telephone—
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 LA HABRA State CA
Zip 90631 Telephone 714-476-5370
OFFICE USE ONLY
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TYPE OF CONSTRUCTION
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PLAN CHECK No __2LO �- 11
OCCUPANCY - GROUP
t PLAN CHECK FEE $
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