HomeMy WebLinkAboutF2022-0071 - Permit ApplicationWorksheet for Fire Permit Application
P lntojm =s City of Newport Beach - Building Division
Please print 3 copies�'n►h/1}'
Associated Building Permit # Fire Sprinkler F Fire Alarm r Fire Misc
UK,
1. Project Address (Not mailing address)
Floor
Suite No
CA,
r—,
State F— Zip I � Telephoned
630 LIDO PARKDRIVE, NEWPORT BEACH 92663
Architect/Designees Address
Architect/Designer's E-mail Address
BLUEWATER GRILL
# Units
r—,
Tenant Name
Engineer's Address
Engineer's E-mail Address
2. Description of Work
_ State F— Zip F_ Telephoned
9 6. Contractor's Name
RELOCATE 4 FIRE SPRINKLERS
Use RESTURANT
Qr Contractor's E-mail Address
l�
marc@apexfiresys.com
City SANTA ANA State CA Zip 92704 Telephone 9493379679
OFFICE USE ONLY
PERMIT NO. F ��v`' �7
Extg Sq Ft —, New/Added Sq Ft Total Sq Ft F
Valuation
"
OCCUPANCY- GROUP
V # Stories
F
r New r Add RI, Alter r Demo
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name
Last First F
Owner's Address
Owner's E-mail Address
City
State F— Zip I � Telephoned
r 4. Architect/Designer's Name Last First Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
City
State r Zip �, Telephoner
F7. 5. Engineer's Name
Last First F_ Lic No.
III
Engineer's Address
Engineer's E-mail Address
City
_ State F— Zip F_ Telephoned
9 6. Contractor's Name
Last PLEX FIRE SYSTEMS First �— Lic. No. 732396 Class -16
__ - —
Contractor's Address
Qr Contractor's E-mail Address
961 W MACARTHUR
marc@apexfiresys.com
City SANTA ANA State CA Zip 92704 Telephone 9493379679
OFFICE USE ONLY
PERMIT NO. F ��v`' �7
CJ`f
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
��� _ 7 PLAN CHECK FEE $