HomeMy WebLinkAboutF2020-0197 - Permit Application_ Print,Form __
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
F2/0 2/0 - 01011
X2019-3924 (2704-2019) Fx Fire Sprinkler r Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1975 Port Bristol F_ F_......
Tenant Name Mayo Family Truss # Units F
2. Description of Work
Use Residence
New fire sprinkler system for single family residence - 44 sprks.
'
Extg Sq Ft'.. New/Added Sq Ft 4978 Total Sq Ft 4978 '.,
Valuation $ 4400
Architect/Designer's Address
#Stories F
IX New r Add r Alter r— Demo
State F_ Zip — Telephone—
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name
Last Grissinger First Jeremy
Owner's Address
Owner's E-mail Address
1863 Port Renwick Place
City Newport Beach
State CA Zip 92660 Telephone 949-922-5755
F_ 4. Arch itect/Designer's
Name Last First F Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip — Telephone—
r 5. Engineer's Name
Last First Lic. No.
Engineer's Address
Engineer's E-mail Address
City �
State t Zip F_ Telephoned
[_X 6. Contractor's Name
Last JB Fire Protection, Inc. First Joe Bledsoe Lic No. 647282 Class C16
Contractor's Address
Contractor's E-mail Address
1229 E. Ash Ave.
joe@jbfireprotection.com
City Fullerton
State CA Zip 92831 Telephone 714-578-0900
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO. O-1 V- ' %�
OCCUPANCY- GROUP
PLAN CHECK FEE $