HomeMy WebLinkAboutF2021-0628 - Permit ApplicationWorksheet for Fire Permit Application o4�ro"a
City of Newport Beach -Building Division., �t
Please print 3 copies • / h�
Associated Building Permit # Fire Sprinkler r-`' Fire AlarrmmI"'" Fire Miscc "
1. Project Address (Not mailing address)
Tenant Name
2. Description of Work
Fire sprinklers for remodel/addition (34 sprinklers)
Extg Sq Ft r—_`.- New/Added Sq Ft F Total Sq Ft f
r New r, Add F7 Alter � Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
...........................
# Units F
Use �. _..
Valuation $
6;0BB$
# Stories
I
(X 4. Architect/Designer's Name Last Vo First John Lic. No.
..
Architect/Designer's Address Architect/Designer's E-mail Address
526 N Shadydale Ave fireguardss@gmail.corn
Cry West Covina State CA Zip 91790 Telephone 714-310-0194
FI6. Contractor's Name Last Fireguard Sprinkler Systems First Lic No. 992002 !Class 16..__
Contractor's Address Contractor's E-mail Address
7907 Leeds Street fireguardss@gmail.com
City 11 Downey State CA Zip 90242 Telephonek714-310-0194
OFFICE USE ONLY �j,�� , n �' , oklr -LOU PERMIT NO. IHOx. C,%w
TYPE OF CONSTRUCTION "i"�V� �' 1 PLAN CHECK NO. Zq U21'
XL,V?I• I rno2-
OCCUPANCY - GROUP
PLAN CHECK FEE $