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Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
r Fire Sprin:_; r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
16 Rocky Point, Corona Del Mar �—
Tenant Name # Units
2. Description of Work
Use
r
NFPA 13D Fire Sprinkler System
- --- -
Valuation $ 9,988_103
Extg Sq Ft r New/Added Sq Ft F_ Total Sq Ft 7,
_ _....
_ _
r New r Add r Alter r Demo �oEt�s'�
# Stories
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name
Last
—
FirstF
Owner's Address
Owner's E-mail Address
City
State F_
Zip r_ Telephoners
FX_ 4. Architect/Designer's
Name Last Gutierrez
First Rubi Lic. No.�
Architect/Designer's Address
ArchitecJDesigner's E-mail Address
8085 E. Crystal Dr.
RubiG@reaFire.com
City Anaheim
State CA
Zip 92807 Telephone (714)666-8450
r 5. Engineer's Name
Last
First ---- Lic. No.�'..
Engineer's Address
Engineer's E-mail Address
City
State —
Zip Telephoner—
s 6. Contractor's Name
Last Residential_ Fire Systems First_ Lic No. 786965 Class C-16
Contractor's Address
Contractor's E-mail Address
8085 E. Crystal Dr.
engineering@resfire.com
City Anaheim
State CA
Zip 92807 Telephone (714)666-8450
OFFICE USE ONLY J>XQ1Ij,qZjj
ww11 __
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
` .�,
OCCUPANCY - GROUP
X �
1 PLAN CHECK FEE $