HomeMy WebLinkAboutF2023-0043 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
r Fire Sprinkler j— Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
552 Seaward Road, Corona Del Mar (South Building) F—
Tenant Name # Units �-
2. Description of Work
Design and Installation of Fire Sprinkler System per NFPA 13D
Use �—
Extg Sq Ft �— New/Added Sq Ft F— Total Sq Ft
Valuation $ 3,502
# Stories I1
r New r Add r Alter r Demo
to heac�5
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last
�5 T�
/
First
Owner's Address
Owner's E-mail dress
City
State I
Zip �— Telephoned
rx 4. Architect/Designer's Name
Last Gutierrez
First Rubi Lic. No. �—
Architect/Designees Address
Architect/Designers E-mail Address
8085 E. Crystal Dr.
RubiG@resfire.com
City Anaheim
State CA
zip 92807 Telephone (714)666-8450
r 5. Engineer's Name Last
First Lic. No. r
Engineer's Address
Engineers E-mail Address
City I—
State I—
Zip F— Telephoned
rX 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
e State CA
Zip 92807 Telephone (714)666-8450
OFFICE USE ONLY
PERMITNO.
TYPE OF CONSTRUCTION
PLAN CHECK
t3 "T
OCCUPANCY- GROUP
D�
PLAN CHECK FEE $