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HomeMy WebLinkAboutF2022-0170 - Permit ApplicationWorksheet for Fire Permit Application ufti Print Form City of Newport Beach -Building DivisionPlease print 3 copies Associated Building Permit # Fire Sprinkler F_ Fire Alarm r Fire Misc 1. Project Address (Not mailing address) Floor Suite No 226 Jasmine Ave., Corona Del Mar, CA 92625 F Tenant Name # Units F 2. Description of Work Use SFR Design build a new 2-story overhead RESIDENTIAL fire sprinkler system in accordance with 2019 NFPA 13D - (41) sprinkler heads. Valuation $ 7,400.00 Extg Sol Ft NA New/Added Sq Ft 5,161 Total Sq Ft 5,161 # Stories Fx— New F_ Add F Alter F_ Demo Check Appropriate Box for Applicant/Notification 3. Owner's Name Last I226 Jasmine, LLC First Owner's Address Owner's E-mail Address 226 Jasmine Avenue city Corona Del Mar State CA Zip 92625 Telephone (949) 975-0123 F— 4. Architect/Designer's Name Last First F Lic. No. F Architect/Designer's Address Architect/Designer's E-mail Address City State 7— Zip F TelephoneF FT 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 State CA Zip 92802 Telephone (714) 234-9633 fx 6. Contractor's Name Last Nguyen First Vincent Lic. No. 1084661 Class C16 Contractor's Address Contractor's E-mail Address 9182 Alwick Circle xfirepmtectiongroup@gmail.com City Garden Grove State CA Zip 92841 Telephone (714) 231-5108 OFFICE USE ONLY p� �2.'' �� PERMIT NO. \ WZ ' a M TYPE OF CONSTRUCTION PLAN CHECK NO. a84R•%oiv OCCUPANCY - GROUP PLAN CHECK FEE $