HomeMy WebLinkAboutF2022-0114 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address I
HILARIA
Worksheet for Fire Permit Application U'l
City of Newport Beach - Building Division
r Fire Sprinkler F Fire Alarm r- Fire Misc
mailing address)
Tenant Name (ATRIA SENIOR LIVING
2. Description of Work
SPRINKLER DROPS FOR NEW WALLS/ ROOM CONFIGURATIONS AND REPLACING ALL
APRINKLERS HEADS IN UNITS AND CORRIDORS 13
Extg Sq Ft F—
New/Added Sq Ft F— Total Sp-Ft-�1a3;t605
F_ New F Add r Alter F_ Demo
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last
First �—
Owner's Address
Owner's E-mail Address
Suite No
MAR 0 9 2022
# Units
iNTERWEST
Use
City I State F_ zip F— Telephoned
I— 4. Architect/Designer's Name Last
First F
Architect/Designer's Address
Architect/Designer's E-mail Address
City I State F—
ZAP r, Telephone
I— 5. Engineer's Name Last
First �—
Engineer's Address
Engineer's E-mail Address
Valuation $ 44,000
# Stories I2
Lic. No.
Lic. No. F
City State F— zip [, TelephoneF�
x 6. Contractor's Name Last TOPINIO _
First JR Lic. No. 1069002 Class C-16
Contractor's Address
1601 W ORANGEWOOD AVE Contractor's E-mail Address
WTOPINIO@ADFIRESPRINKLERS.COM
City ORANGE State CA
Zip 92868 Telephone 714634392�a,
OFFICE USE ONLY PERMITNO. f TYPE OF CONSTRUCTION PLAN CHECK NO. Q n�" 1 V
�� 15(• v�fl/ PLAN CHECK FEE $