HomeMy WebLinkAboutF2023-0038 - Permit ApplicationPrmtForm
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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
X Fire Sprinkler F.. Fire Alarm j " Fire Mist
1. Project Address (Not mailing address) Floor Suite No
2571 Vista Drive -- --� j-"—"
Tenant Name # Units ( -
(j2. Description of Work
[Fire sprinklers for new SFR (49 heads)��� Use -`
Exta q Ft , NcmAdded Sy Ft Total Sq Ft
I
F- New (_. Add r- Alter r.. Demo
^�••��^ ^PPr UPrraee oux Tor HppllcanVNotitication
Valuation $ 10,0o0 '
# Stories F2
I ' 3. Owner's Name Last I
- r
First I
Owner's Address
Owner's E-mail Address
City F— � State
t
Zip Telephone) _____
X 4. Architect/Designer's Name Last Fo—
—, First John �� Lic. No.
f ---
Architect/Designer's Address _
�526 N Shadydale Ave
_
Architect/Designer's E-mail Address
ifireguardss@gmaiLcom
-
City west Covina -A - �-
State
CA
Zip 91790 Telephone 714-310-0194
5. Engineer's Name Last
First F— Lic No.
Engineer's Address
E-mail Address
rEn—gineer's
ill
City State
i
Zip Telephone
6Z 6. Contractor's Name Last Fireguard Sprinkler Systems First Lic No. 992002 Class 16
Contractor's Address
7907 Leeds Street
Contractor's E-mail Address
fireguards@gmaiLcom
City Downey State
�C'A -
Zip 1g0242 Telephone) 17 4-310-0194
OFFICE USE ONLY
PERMIT N0. Z-4
TYPE OF CONSTRUCTION _-
PLAN CHECK NO. F420 L
%01SP
OCCUPANCY - GROUP
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PLAN CHECK FEE $