HomeMy WebLinkAboutF2020-0383 - Permit Application (3)Worksheet for Fire Permit Application uNq
Print FormCity of Newport Beach - Building Division Please print 3 copies
Associated Building Permit # rL I w FT Fire Sprinkler j— Fire Alarm r Fire Misc
1. Project Address (Not mailing address) I Q Floor Suite No
422 Larkspur Avenue, Corona Del Mar, CA 92625 (— F—
Tenant Name SEP 2*2026 # units F-
2. Description of Work
CONSULTING GRO
Design/build a 3-stories RESIDENTIAL fire sprinkler system as per 2016 NFPA 13D- (44) heads. Use SFR
V_16_SQ
Valuation $ 6,600.00
Extg Sq Ft N/A New/Added Sq Ft 3,707 Total Sq Ft 3.707
Ix New j— Add #Stories F
� Alter � Demo
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last IDL Home, Inc.
FirstF
Owner's Address
Owner's E-mail Address
3001 Red Hill Ave., Bldg. 4, Suite 210
City Costa Mesa
State CA
Zip 92626 Telephone (949) 945-9945
r 4. Architect/Designer's Name
Last I First I Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City I
State F_
Zip F_ Telephoned
5. Engineer's Name Last Vu
First Anthony Lic. No. 1038755
Engineer's Address
Engineer's E-mail Address
9559 Nightingale Ave
ifireprotectionsales@gmail.com
City Fountain Valley
State CA
Zip 92708 Telephone (714) 231-5108
x 6. Contractor's Name Last Vu
First Anthony Lic. No. 1038755 Class 116
Contractor's Address
Contractor's E-mail Address
9559 Nightingale Ave
ifireprotectionsales@gmail.com
City Fountain Valley
State CA
Zip 92708 Telephone (714) 231-5108
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. I b )5 _ 2CDZC)
OCCUPANCY - GROUP
PLAN CHECK FEE $