HomeMy WebLinkAboutF2021-0277 - Permit ApplicationPrint Form
Please print 3 copies
A«nc-iated Building Permit #
Worksheet for Fire Permit Application
Beach - Building Di
City of Newport to visionZoZ� - V t�
/ (/
Ix Fire Sprinkler F- Fire Alarm r Fire Misc
aritlress (Not mailing address)
---
0 Orchid Avenue, Corona Del Mar
Tenant Name
2. Description of Work
INFPA 13D Fire Sprinkler System X10, QM
Extg Sq Ft
New/Added Sq F Ft Total Sq Ft 4,419
iX New i Add F- Alter �` Demo ytj Kf--0 6 _PCtCAt
Check Appropriate Box for Applicant/Notification
rtuui
F F_
#Units F_
Use
Valuation $ F9,165
# Stories F
�... � First
3. Owner's Name Last
Owner's E-mail Address
Owner's Address
State �� Zip ��
Telephone
City
"� " First Rubi Lic. No.
(X 4. ArchitectlDesigner's Name Last Gutierrez
Architect/Designer's Address
8085 E. Crystal Dr. -
State CA
City Anaheim
r- 5. Engineer's Name
Last
Architect/Designer's E-mail Address
RubiG@resfire.com
Zip 92807 Telephone (714)666-8450
First Lic. No.
Engineer's E-mail Address
Engineer's Address
State _ Zip �. Telephones W
City
Lic. No. 786965 Class C-16
� 6. Contractor's Name Last Residential Fire Systems
First
�8085
ontractor's A�tal
E. Cry
City Anaheim State CA
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
�engineering@resfire.conl
ntractor's E-mail Address
Zip 92807 Telephone (714)666-8450
PERMIT NO.
PLAN CHECK NO. �2l
��� PLAN CHECK FEE $