HomeMy WebLinkAboutF2020-0248 - Permit ApplicationWorksheet for Fire Permit Application�16MR)
Print Form
City of Newport Beach -Building Division ZO2 0. O Z`tK
Please print 3 copies
Associated Building Permit#
Project Address (Not t�_Aling address)
Harbor Island
r Fire Sprinkler r Fire Alarm (`, Fire Misc
Tenant Name '..
2. Description of Work
NFPA 13D Fire Sprinkler System
Extg Sg Ft F New/Added Sq Ft F Total Sq Ft _12,861 __ _ ..',
fK7 New (— Add rAlter f—'•'•••• Demo
Check Appropriate Box for Applicant/Notification
rl 3. Owner's Name Last First
Floor Suite No
#Units F®
Use
Valuation$ 32,938
# Stories I
Owner's Address Owner's E-mail Address
City �,. ,..,. State F— Zip F— Telephoned
r>7� 4. Architect/Designer's Name Last Gutierrez First FTLic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
8085 E. Crystal Dr. RubiG@resfire.com
City Anaheim StateCA Zip 92807 Telephone (714)666-8450
[X', 6. Contractor's Name Last Residential Fire Systems First �Lic. No. 786965, Class F-16,_.
Contractor's Address Contractor's E-mail Address
8085 E. Crysta11 l Dr. engineering@resfire.com
City Anaheim StateCA Zip 92807 Telephone (714)666-8450
OFFICE USE ONLY q to
PERMIT NO. L
TYPE OF CONSTRUCTION '� PLAN CHECK NO.
OCCUPANCY - GROUP PLAN CHECK FEE $
VK -cry' la. -1 �.V