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Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
1552 Seaward Road, Corona Del Mar (North Building)
Tenant Name 1
2. Description of Work
�EW"OaT
U S
c"opN.>
r Fire Sprinkler j— Fire Alarm (" Fire Misc
(Design and Installation of Fire Sprinkler System per NFPA 13D�
Extg Sq Ft �— New/Added Sq Ft F Total Sq Ft tpq-t, 0
r New r Add r Alter r Demo S lr-e s
unecic Appropriate t30X for Applicant/Notification
Floor Suite No
# Units F_--
Use
Valuation $ 4,018
# Stories F
r 3. Owner's Name Last
G'S
- J
First z_e a4„
Owner's Address
Owner's E-mail Address
City �—
State
�—
zip �— TelephoneF—
r 4. Architect/Designer's Name
Last Gutierrez
First Rubi Lic. No.l —-
Architect/Designer's Address
ArchiteaUDesigner's E-mail Address
8085 E. Crystal Dr.
RubiG@resfire.com
City Anaheim
State
CA
Zip 92807 Telephone (714)666-8450
(` 5. Engineer's Name Last—
FirstF_ Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City F—
State
r —
Zip � Telephoned
iX 6. Contractor's Name Last Residential Fire Systems
First F Lic. No. 786965 Class C-16
Contractor's Address
Contractor's E-mail Address
8085 E. Crystal Dr.
engineering@resfire.com
City Anaheim
State
CA
Zip 92807 Telephone (714)666-8450
OFFICE USE ONLY
PERMIT NO. �
TYPE OF CONSTRUCTION
3% ell PLAN CHECK NO. C
0
OCCUPANCY- GROUP
PLAN CHECK FEE $
M