HomeMy WebLinkAboutF2019-0294 - Permit ApplicationWorksheet fur Fire Permit Application
Print Form City of Newport Beach -Building Division
Please print 3 copies PL -OP -0%_j2t L�
Associated Building Permit #
r Fire Sprinkler r Fire Alarm r' Fire Misc
U
1. Project Address (Not mailing address) Floor Suite No
820 Via Lido Nord Newport Beach CA 92663 F__
Tenant Name # Units �—
2. Description of Work
Owner's Address
Use SFR
Design and install residential fire sprinkler system per NFPA 13D. (Total 40 -heads)
Extg Sq Ft New/Added Sq Ft 4,540 Total Sq Ft 4,540
Valuation $ 6,400
FNew r Add F- Alter F- Demo
# Stories l
Check Appropriate Box for Applicant/Notification
FX_ 3. Owner's Name
Last Kruse
First David
Owner's Address
Owner's E-mail Address
820 Via Lido Nord
City Newport Beach
State CA
Zip 92663 Telephone (714) 296-8963
F_ 4. Arch itect/Designer's
Name Last �— First—, Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City I__---
State
Zip I — Telephoned'
1- 5. Engineer's Name
Last �—
First F_Lic. No.
�—
Engineer's Address
Engineer's E-mail Address �b�
City �—
State �—
Zip �— Telephone
7 6. Contractor's Name
Last Nguyen First Vincent Lic. No. 1038755 Class116
Contractor's Address
Contractor's E-mail Address
9559 Nightingale Ave
ifireprotection20l8@gmail.com
City Fountain Valley
State CA
Zip 92806 Telephone (714) 231-5108
OFFICE USE ONLYAIA
NO.
TYPE OF CONSTRUCTION ��'OPERMIT
PLAN CHECK NO.
OCCUPANCY- GROUP
'q
PLAN CHECK FEE $