HomeMy WebLinkAboutF2022-0253 - Permit Application�20 22 - °z-§3
5>>�'
Worksheet for Fire Permit Application o4?EW�Ra
City of Newport Beach -Building Division o
Please print 3 copies owr
Associated Building Permit# IXFire Sprinkler ('Fire Alarm Fire Misc
1. Project Address (Not mailing ad
1807 Port Charles Place
Tenant Name
2. Description of Work
re Sprinklers for new SFR (45 sprinklers)
Extg Sq Ft F—_---.- New/Added Sq FtF_
Totai Sq Ft
F_ New [_ Add F- Alter F_ Demo
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last First
Owner's Address Owner's E-mail Address
City f State F' Zip �_.--.---,. Telephone
Floor Suite No
# Units F
Use
Valuation $ 8,000
# Stories
fX'', 6. Contractor's Name Last Fireguard Sprinkler Systems _ First Lic. No. 992002 Class[I
Contractor's Address Contractor's E-mail Address
7907 Leeds Street fireguardss@gmail.com
City Downey State CA ZiP 90242 Telephone 714-310 0194
OFFICE USE ONLY
'TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $