HomeMy WebLinkAboutF2024-0082 - Permit ApplicationPrint Form Worksheet for Fire Permit Application
City of Newport Beach - Building Division (M§1111
Please print 3 copies
Associated Building Permit # r Fire Sprinkler (—I Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
20202 ORCHID ST -
Tenant Name DUDDEYRESIDENCE
2. Description of Work
FIRE SPRINKLERS
19 HEADS
Extg Sq Ft New/Added Sq Ft I Total Sq Ft
rX': New E Add [ Alter [ Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use
Valuation $ 1900
# Stories iI
F-' 3. Owner's Name Last
First F_
Owners Address
Owner's E-mail Address
City
State F— Zip F Telephoned—
r 4. Architect/Designer's Name Last
First F, Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
City �—
State F__ Zip Telephoned
F_ 5. Engineer's Name Last
First F Lic No.
Engineer's Address
Engineers E-mail Address
City
State F_ Zip F_ Telephoned
r 6. Contractor's Name Last CASEY First MONTY Lic No. 8760(; 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. V 20Zy - OO$ Z
TYPE OF CONSTRUCTION
PLAN CHECK NO.&?-6ZLe--Q32-,.
OCCUPANCY - GROUP
PLAN CHECK FEE $