HomeMy WebLinkAboutF2021-0212 - Permit ApplicationFZo21—o212
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit# r Fire Sprinkler r—, Fire Alarm r Fire Misc
Address (Not mailing address)
Outrigger Drive
Tenant Name
2. Description of Work
sprinklers for new SFR (30 heads)
Extg Sq Ft [ New/Added Sq Ft ( l Total Sq Ft F
F New r Add F_ Alter f—, Demo
Check Appropriate Box for Applicant/Notification
3. Owner's Name Last First
Floor Suite No
#Units F
Use
Valuation $ 6,000
# Stories I
Owner's Address Owner's E-mail Address
City _._ !, State Zip F`-- Telephone
Fi 4. Arch itect/Designer's Name Last 11 Vo �i First John Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
526 N ShadydaleAvefireguardss@gmail.com
--
City West Covina State CA Zip 91790 Telephone 714-310-0194
FK_ 6. Contractor's Name Last Fireguard Sprinkler Systems First
F 7 Lic No. 992002 Class F16
Contractor's Address Contractor's E-mail Address
7907 Leeds Street fireguardss@gmail.com
City Downey State FCA,, 90242 Telephone 714-310 0194
OFFICE USE ONLY PERMIT NO. _
TYPE OF CONSTRUCTION vnip-U0 PLAN CHECK NO.
OCCUPANCY- GROUP "I ru5$ PLAN CHECK FEE $