HomeMy WebLinkAboutF2022-0515 - Permit Applicationt" �T
Worksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
-lease print 3 copies
Associated Building Permit # F- FX Fire Sprinkler i- Fire Alarm F- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1806 Port Ashley Place
# Units F 1
Tenant Name illiam and Stephanie Frederickson
2. Description of Work
Fire Sprinkler Layout Use
Valuation $Fu
Extg Sq Ft 2,107 S.F. New/Added Sq Ft 2,213 S.F. Total Sq Ft 3,126 S.F. 1
# Stories
r New FX_ Add F- Alter F- Demo
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last F—
First �—
Owner's Address
Owner's E-mail Address
City �—��
State F_Zip
�— Telephoned—�
First guirre Lic. No. F—
(X 4. Architect/Designer's Name Last
lex
Architect/Designer's Address
Architect/Designer's E-mail Address
8779 Cottonwood Ave. Suite # 101
alex@ifpinc.net
Santee v
State Ca.
Zip 2071 Telephone (619) 593 - 8200
City
1- 5. Engineer's Name LastF�
FirstFJ LicNo. F
Engineer's Address
Engineer's E-mail Address
City
State �—
Zip �- Telephone[—
IX 6. Contractor's Name Last Charlie
First Sampson Lic No. 711148 Class C-16
Contractors Address
Contractors E-mail Address
8779 Cottonwood Ave. Suite # 101
charlie@ifpinc.net
City Santee
State Ca.
Zip 92071 Telephone (619) 593 - 8200
14-ftLL-PERMIT NO.NSTRUCTIONPLAN
CHECK NOY
EOFFICEONLY
- GROUP
PLAN CHECK FEE $