HomeMy WebLinkAboutF2023-0292 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
�EWMRT
Worksheet for Fire Permit Application o� a
City of Newport Beach - Building Division a
r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
1801 BAYADERE TERRACE
Tenant Name MILLER RESIDENCE
2. Description of Work
FIRE SPRINKLERS
87 HEADS
Extg Sq Ft F_— New/Added Sq Ft Total Sq Ft
FX_ New r Add r Alter I— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
Use
Valuation $ 8700
# Stories F
r 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City I
State I
Zip F— Telephone
First Lic. No. F
r 4. Architect/Designer's Name Last
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
Zip �— Telephone
r 5. Engineer's Name Last
First �— Lic No.
Engineer's Address
Engineer's E-mail Address
City
State F__
Zip Telephoned
Name CASEY
First FmONTY Lic. No. 876004 Class C-16
6. Contractor's Last
Contractor's Address
Contractor's E-mail Address
1101 KINGSTON DR
FIREPROOFMC@GMAIL.COM
HABARA
State CA
Zip 90631 Telephone 714-476-5370�q
City LA
PERMIT NO.
OFFICE USE ONLY
X
��v
TYPE OF CONSTRUCTION
PLAN CHECK NO.�
OCCUPANCY - GROUP
'
O PLAN CHECK FEE $