HomeMy WebLinkAboutF2025-0002 - Permit ApplicationPrint Form Worksheet for Fire Permit Application DaWT-y'?"
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # F_ iX Fire Sprinkler
p (— Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor Suite No
21161 Newport Coast Drive
Tenant Name Newport Beauty Salon I # Units F
2. Description of Work
Fire Sprinkler TI (g) heads
Use
Extg Sq Ft 1,845 New/Added Sq Ft F— Total S Ft �— I Valuation $ 3,650
9
r New r Add rX Alter F_ Demo I # Stories F
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last Ellmann First P011y & Michael
Owner's Address Owner's E-mail Address
9 MacArthur Place N301
City Santa Ana State CA Zip 92707 Telephone—
r 4. ArchitectlDesigner's Name Last F First F_
Lic. No.I--
Architect/Designer's Address Ar--ch—itteect/DDeesiigner's E-mail Address
City _ _ _ State r— Zip- -Telephone
r 5. Engineer's Name Last I First F_ Lic.
No.
Engineer's Address
Engineer's E-mail Address
City State �—
Zip [_ Telephone�—
IX 6. Contractor's Name Last aekel First Steve
Lic. No. 9J7i�'i1 .Class C36,10,16
Contractor's Address Contractor's E-mail Address --u.- '1 ^SD,T -
1170 E. Fruit Street s aekel firesafe 1 @ tyfirst.com
City Santa Ana State CA Zip 92701 Telephone 714-329-7110
OFFICE USE ONLY ))yjff p v-1 .�?Sj PERMIT NO. _C ((�25'000�
TYPE OF CONSTRUCTION 7X(t/►�Q 7J� Q �✓ I PLAN CHECK NO.
OCCUPANCY- GROUP 1
M I1I PLAN CHECK FEE $