HomeMy WebLinkAboutF2023-0330 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
jz Fire Sprinkler F_ Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address)
113 Topaz Ave.,, Newport Beach, CA 92662
Tenant Name
2. Description of Work
Design build a new 3-story overhead RESIDENTIAL fire sprinkler system in accordance with
2022 NFPA 13D - (27) sprinkler heads.
Extg Sg Ft F New/Added Sol Ft 2,718 Total Sg Ft 2,718
[_x New j Add F— Alter I— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
Use SFR
Valuation $ 3,200.00
#Stories
Fx 3. Owner's Name Last F13 Topaz Group, LLC
First
Owner's Address
Owner's E-mail Address
2901 W. MacArthur Blvd., Suite 207
City Santa Ana State
CA
Zip 92704 Telephone (714) 791-3771
F_ 4. Architect/Designer's Name Last �—
First �— Lic. No. F —
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
F
Zip �— Telephone[—
Fx— 5. Engineer's Name Last Vu
First Anthony Lic. No. 1038755
Engineer's Address
Engineer's E-mail Address
1621 W. Sumac Lane
ifireprotectiondesign@gmail.com
City Anahiem State
CA
Zip 92802 Telephone (714) 234-9633
Fx 6. Contractor's Name Last FNguyen
First Vincent Lic 10 No. 84661 Class F16
Contractor's Address
Contractor's E-mail Address
9182 Alwick Circle
xflreprotectiongroup@gmail.com
City Garden Grove State
CA
Zip 92841 Telephone (714) 231-5108 rz07 3 -0
OFFICE USE ONLY
¢fi,,
^ n I� PERMIT NO. /Q � . 0
wu NO.
TYPE OF CONSTRUCTION
PLAN CHECK
OCCUPANCY - GROUP
0331 PLAN CHECK FEE $