HomeMy WebLinkAboutF2021-0469 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application o K-0;
City of Newport Beach -Building DivisionIF
yl,Lr1I-A
r Fire Sprinkler j— Fire Alarm F- Fire Misc
1. Project Address (Not mailing address)
P049 EAST COAST HIGHWAY
Tenant Name MOTHERS MARKET & KITCHEN
2. Description of Work
j ENANT IMPROVEMENT INVOLVING ADDITION AND RELOCATION OF EXISTING FIRE
PRINKLER DROPS FOR NEW WALUROOM CONFIGURATIONS,
Extg Sq Ft 769 New/Added Sq Ft F— Total Sq Ft 769
F- New r Add 15Z Alter F- Demo
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Floor Suite No
r IB
# Units F—
Use
Valuation $ 413
# Stories
r 3. Owner's Name Last MOSHAYEDI
First MARK
Owner's Address
Owner's E-mail Address
17475 GILLETTE
City IRVINE
State CA —
Zip Fi614 Telephone (949)350-4019
F 4. Architect/Designer's Name
Last FURRER First AMEREN Lic. No. F16 1069002
Architect/Designer's Address
Architect/Designer's E-mail Address
1601 W ORANGEWOOD AVE
FURRER ADFIRESPRINKLERS.COM
City RANGE
State rA —
ZIP 2866 Telephone (714) 634-3923
r 5. Engineer's Name Last
First F_ Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State F_—
Zip [_ Telephone—
r 6. Contractor's Name Last &D FIRE First F— Lic. No. 1069002 Class 16
Contractor's Address
Contractor's E-mail Address
1601 W ORANGEWOOD AVE
FURRER@ADFIRESPRINKLERS.COM
City RANGE
State FA__
Zip 2666 Telephone (714) 634-3923
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $