HomeMy WebLinkAboutF2020-0362 - Permit ApplicationL Print ,Form
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Associated Building Permit #
Work'sheet for Fire Permit. Application
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1. Project Address (Not rnailingaddress)
Floor Suite No
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1420 Poinsettia Ave, Corona del Mar, Ca 92625
tr' wner's E-mail Acidness
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Tenant Name �
City ]Corona dei Mar State (A.
# Units
,
2. Description of Work
Fist Oscar Lie No.
Architect/Designer's Address
11800 Sterling Ave, Ste K
Aie uit .ct/L3esigner s E rnail Address
Use,
lFor the use of design & install of a new fire sprinkle ystem her AFPA I 3L' 2016 E7.
.______ __.
Z i p 92"t) 0 3 telephone 951-254-5848
F 5. Engineer's Name Last I
_..._. _ _..._----------
Extg Sy FtPlew/Added Sq Ft -iota! Ft dF37
...._....... ._.
Valuation $ 15,470
;;q 12
City I Stale
Lip Telephone,
jW 6. Contractor's Name Last bn Guard Fire Protection Fi-st € Lic. No. 950378 Class C-16
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rNew i— Add }._ Alter t`_ nzm°
6438 Arville St
# Stories
Check Appropriate Box for Appiicalit/Notification
W�/1Y111 J�I/M
F 3. Owner's Name Last #Ali
First IFadavi
Owner's Address
tr' wner's E-mail Acidness
_
1420 Poinsettia Ave, Corona dei Mar Ca 92625
City ]Corona dei Mar State (A.
Zip ;9625 1 elephonel949-254-8116
4. Architect/Designer's NamIe astGarua
Fist Oscar Lie No.
Architect/Designer's Address
11800 Sterling Ave, Ste K
Aie uit .ct/L3esigner s E rnail Address
losc,arg@)onguardfp.com
City Riverside Stare CA
.______ __.
Z i p 92"t) 0 3 telephone 951-254-5848
F 5. Engineer's Name Last I
First, Lie No
Engineer's Address
Eng eer E-mail Address g
City I Stale
Lip Telephone,
jW 6. Contractor's Name Last bn Guard Fire Protection Fi-st € Lic. No. 950378 Class C-16
Contractor's Address
Oonlaactors E: -mad Address
6438 Arville St
City Las Vegas State iNV
zip 4891 8 Telephone 702-966-8021
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OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION Y
PLAN CHECK NO.
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OCCUPANCY -GROUP }~ 1-_�
PLAN CHECK FEE $