HomeMy WebLinkAboutF2023-0284 - Permit ApplicationPrint Form Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit #
r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor Suite No
2136 E BALBOA BLVD
�—
Tenant Name FRANCESCON RESIDENCE
# Units �-
2. Description of Work
FIRE SPRINKLERS
Use
26 HEADS
Valuation $ 2600
Extg Sq Ft F— New/Added Sq Ft F Total Sq Ft
# Stories 4 f/
(�
r New I—Addr Alter r Demo
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last
First F_
Owner's Address
Owners 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/Designer's E-mail Address
City
State F_ Zip F__ Telephone
(' S. Engineer's Name Last
First Lic. No. F_—
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F_ Telephoned
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 HABRA
State CA Zip Telephone 714-4766-�-5""3770
OFFICE USE ONLY
p9F0631
QZefZJZ �O L i�� PERMIT NO. I�(rV'Za
TYPE OF CONSTRUCTION
�j� r7 I lg S PLAN CHECK NO.�y�
OCCUPANCY - GROUP
PLAN CHECK FEE $