HomeMy WebLinkAboutF2023-0403 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1.PProject Address 1
Balboa Coves
Tenant Name I
Workshact for Fire Permit Application
City of Newport Beach - Building Division
FireSprnkler Fire Alarm
mailing address)-
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2. Description of Work
Fire sprinklers for new 3rd flooraddition (4 heads)
Extg Sg Ft New/Added SG Ft Tuta'.. Sg Ft
(- New F_ Add Jr- Alter ;- Derro
Check Appropriate Box for Applican+Jtiotification
F 3. Owner's Name Last
Owner's Address
City
X 4. Arch itecUDesigrier's Name Last I
Architect/Designer's Address
526 N Shadydale Ave
City i'Arest Covina
i 5. Engineer's Name Last
Engineer's Address
I
City
First
Owner's E-mail Address
014
F Fire Misc
Floor Suite No
e Units......_. --
Use
Valuation2,000
r Mores '3
i
r.__,�.. ..._.__..-....__......_
State
,:p ' Te!e phone �---------
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....
First l John Lic. No.
Architect/Designer's E-mail Address
fireg uardss@gmai Isom
State ICA Zip 191790 Telephone 714-310-0194
�_
First
Gigineer's E-ma,l Address
State
Lip I Telephone
L,c. No.
X 6. Contractor's Name LE.stiFreguardSp,iikierSysteinS First l Lic No. 992002 Class 16
Contractor's Address Contractor's E-mail Address
7907 Leeds Street Ifireguardss@ymaLcom --
City Downey State F, zip - Zi 90242 - -
�� I P Telephonel714-310-0194
I
i OFFICE USE ON[ Y
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO. rZfi3 _ CJ UO�.
PLAN CHECK NOZoS
PLAN CHECK FEE $ -