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 $