HomeMy WebLinkAboutF2023-0462 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing
1303 JASMINE AVE
Tenant Name GREWAL RESIDENCE
2. Description of Work
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
lE�/POyT
i
c
C9(iPoPN.c
r Fire Sprinkler F_ Fire Alarm r Fire Misc
FIRE SPRINKLERS
30 HEADS
Extg Scl Ft F— New/Added Sq Ft F Total Sq Ft
New F_ Add r Alter r Demo
L,neCK Appropriate Box for Applicant/Notification
Floor Suite No
# Units F—
Use
Valuation $ 3000
# Stories I-
r 3. Owner's Name Last
First F
Owner's Address
Owner's E-mail Address
City I
State F_
Zip F TelephoneF—
r 4. Architect/Designer's Name
Last First F— Lic. No. F_—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �—
Zip F TelephoneF_
F_ 5. Engineer's Name Last
First Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State �—
Zip �— 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 OAtLY
PERMIT NO. ✓ ie�
TYPE OF CONSTRUCTION
PLAN CHECK NO. e-s* 91J�10
OCCUPANCY- GROUP
PLAN CHECK FEE $