HomeMy WebLinkAboutF2023-0587 - Permit ApplicationI print Fbrm
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Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address Not mailing address)
Via Lido Nord
Tenant Name
2. Description of Work
Fire sprinklers for SFR (31 heads)
R Fire Sprinkler r Fire Alarm F7 Fire Misc
Extg Sq Ft New/Added Sq Ft - Total Sq Ft F
I— New I— Add r Alter F Demo
Check Appropriate Box for Applicant/Notification
900-j
Floor Suite No
# Units F
Use F_
Valuation $ 7,000
# Stories [2
3. Owner's Name Last _ First { _.
- I
Owners Address Owners E-maii Address g
City r - State i Zip YI Telephonel
i_ ... ..
17— —
4. Architect/Designer's Name Last iVo Firsi John Lic. No.
Architect/Designer's Address Architect/Designers E-mail Address
f 526 N Shadydale Ave fireguardss@gmail.com
City West Covina State r A zip 91790 Telephonel7r14-3310-0194v
r — 5. Engineer's Name Last
Engineers Address
First i Lic No. Engineer's E-mail Address
City - - -. _ _ __. State �W Zip rTelephone! -
E t
!$7, 6. Contractor's Name Last Fireguard Sprinkler Systems First Lic No. 992002 Class 7ti
Contractor's Address Contractors E-mail Address
E1307 Leeds Street �fireguardss@gmeil com�j
E City Downey State �A Zip 9024?_• Teieptione 7?4-310-0194
u —
OFFPCE USE ONLY
TYPE OF CONSiRUCT'ION
i OCCUPANCY - GROUP
PERMIT NO.
PLAN CHECK
PLAN CHECK