HomeMy WebLinkAboutF2021-0463 - Permit ApplicationWorksheet for Fire Permit Application o�`'�W�°��
Print Form �
-- - - - r - - City of Newport Beach - Building Division
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Associated Building Permit # FX- Fire Sprinkler r" Fire Alarm ("' Fire Misc
1. Project Address (Not mailing address) Floor Suite No
19 Point Loma, Corona Del Mar
Tenant Name # Units
2. Description of Work
NFPA 13D Fire Sprinkler System Use " - --
Valuation $ [10,596
Extg Sq Ft New/Added Sq Ft Total Sq Ft 5,979
# Stories
FX- New F Add F_ Alter F- Demo l03 heAC�S
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F- 3. Owner's Name Last First
Owner's Address Owner's E-mail Address
City State Zip Telephoned
4. Arch itecVDesigner's Name Last Gutierrez First Rubi Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
8085 E. Crystal Dr. RubiG@resfire.com
City Anaheim State CA Zip 92807 Telephone (714)666-8450
F_ 5. Engineer's Name Last First F Lic. No.
Engineer's Address Engineer's E-mail Address
City State Zip Telephone _
[X 6. Contractor's Name Last Residential Fire Systems First F Lic. No. 786965 Class C 16
Contractor's Address Contractor's E-mail Address
8085 E. Crystal Dr. engineering@resfire.com
City Anaheim State CA Zip 92807 Telephone (714)666-8450
OFFICE USE ONLY Dze- I C J PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO. ✓, I�,_�
OCCUPANCY- GROUP �C �l s C5 0 PLAN CHECK FEE $