HomeMy WebLinkAboutF2022-0203 - Permit ApplicationWorksheet for Fire Permit Application
Print Farm City of Newport Beach - Building Division
Please print 3 copies .;%
Associated Building Permit # r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
4250 Birch Street
Tenant Name Benihana
2. Description of Work
New sprinkler head layouts due to new addition to existing restaurant. I j InS,
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Extg Sq Ft �.., New/Added Sq Ft 615 Total Sq Ft 615
r' New Ix.. Add r' Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use
Valuation$
# Stories
17 3.Owner's Name Last Avila
First Chris
Owner's Address
Owner's E-mail Address
8 Cartagena
Chris@completefiresolutionsinc.net
City Aliso Viejo
State CA Zip 92656 Telephone 949 302-4259
r_ 4. Architect/Designer's Name Last
Avila First Chris Lic. No. 1031106
Architect/Designer's Address
Architect/Designer's E-mail Address
23891 Via Fabricante Unit# 615
Chris@completefiresolutionsinc.net
City Mission Viejo
State CA Zip 92691 Telephone 949-3024259
r5. Engineer's Name Last Avila
First Chns Lic. No. 1031106
Engineer's Address
Engineer's E-mail Address
23891 Via Fabricante Unit# 615
Chris@completefiresolutionsinc.net
City Mission Viejo
State CA Zip 92691 Telephone 949-302-4259
6. Contractor's Name Last Avila
First Chris Lic No. 1031106 'Class C16
Contractor's Address
Contractor's E-mail Address
8 Cartagena
Chris@completefiresolutionsinc.net
City Aliso Viejo
State CA Zip 92656 Telephone 949-302-4259
OFFICE USE ONLY
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PERMIT NO.
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TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $
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