HomeMy WebLinkAboutX2022-0908 - Permit Application (3)Worksheet for Fire Permit Application
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)(Zo l ►CAOS City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # X2022-0908 Fire Sprinkler I— Fire Alarm r, Fire Misc
oject Address (Not mailing address)
Campus Drive, Newport Beach, CA 92660
Tenant Name Sleep Center
2. Description of Work
Use
6 pendent sprinkler and 10 uprights.
Extg Sq Ft F77777 New/Added Sq Ft F',, Total Sq Ft 2,518
New r Add 1- Alter r Demo
Check Appropriate Box for Applicant/Notification
r 3.Owner's Name Last I First
Owner's Address Owner's E-mail Address
City State �'I, Zip ��'. Telephone
Floor Suite No
230
# Units
Valuation $ 3 653.33
#Stories [i
r' 4. ArchitecVDesigner's Name Last First F777777 Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
------- .._.._._. .__.__ __._�J _._._._.... _._._._._._._..__ _._.___. ..._._._..-
City State` Zip —I. Telephone'
Ix' 6. Contractor's Name Last CJ Suppression, Inc. I First F77777 Lic. No. 721124 _ Class C-16
Contractor's Address Contractor's E-mail Address
205 Lewis Court construction@cjsuppression.cam
City Corona State CA Zip 92882 Telephone 951-735-5560
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
'�2�1- o/ _
/ l fIY/I
PERMIT NO. i v 22
PLAN CHECK NO.
PLAN CHECK FEE $