HomeMy WebLinkAboutF2024-0126 - Permit ApplicationCity of Newport Beach Fire Permit Application =
1
Project Address
213 39th STREET 92663
Number and Street suite/unit zip
Associated Building Permit #
2
Owner/Tenant
CLASEN RESIDENCE
Name
3
Scope of work/
misc.description
INSTALL 17 HEADS AND 1 SYSTEM RISER
I
_/ New
Construction TI Addition Alteration Demolition
*Checkone
Commercial Fire Sprinkler
Number of Stories per
�' Number of FS Heads building
Lj13 13R ✓ 13D
Multi -Family (3+units) El Fire Alarm
nNumber of FA Devices ® Number of Dwelling
I�
Y I Residential (1-2 units) Fire Underground
Units
Fil Number of Risers
*Checkone Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name: MONTY CASEY
Address: 1101 KINGSTON DR, LA HABRA CA 90631
Phone#:714-476-5370 Email: FIREPROOFMCO)GMAILd
®Check if same as Contractor
Designer!nformation Name:
Address:
Phone#: Email:
[Check if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: Class:
Office Use Permit Plan Check Permit/Plan
Number Number ow(I Check Fee $
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