HomeMy WebLinkAboutF2022-0200 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Project Address (Not mailing address)
63 Cambria Drive, Corona Del Mar, CA 92625
Tenant Name
2. Description of Work
ix Fire Sprinkler r Fire Alarm F_ Fire Misc
Design build a new 2-st y overhead RESIDENTIAL fire sprinkler system in accordance with
2019 NFPA 13D- (47) sp nkler heads.
Extg Sq Ft NA New/Added Sq Ft 6,459 Total Sq Ft 6.459
Fx- New F_ Add — Alter i— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use ISFR
Valuation $ 7,600.00
# Stories
x 3. Owner's Name
Last FIRE II, LLC
First
Owner's Address
Owners E-mail Address
7642 W. Irving Park Road
City Norridge
State IL
Zip 60706 Telephone (847) 343-2234
r 4. Architect/Designer's Name Last �—
First I Lic. No.
F
ArchitecUDesigner's Address
Arch itect/Designer's E-mail Address
City
State F
Zip I TelephoneF—
5. Engineer's Name
Last Vu
First Anthony Lic. No.
1038755
Engineer's Address
Engineer's E-mail Address
1621 W. Sumac Lane
ifireprotectiondesign@gmail.com
City Anahiem J
State CA
Zip 92802 Telephone (714) 234-9633
Fx- 6. Contractor's Name
Last Nguyen First Vincent Lic. No. 1084661 Class F16
Contractor's Address
Contractor's E-mail Address
(9182 Alwick Circle
xfireprotectiongroup@gmail.com
City Garden Grove
State CA
Zip 92841 Telephone (714) 231-5108
na
OFFICE USE ONLY
p
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $
7,()L1 1UU_1