HomeMy WebLinkAboutF2023-0395 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # XR2022-2165 FX Fire Sprinkler ❑ Fire Alarm Fire Misc
1. Project Address (Not mailing address) Floor Suite No
13).5 OXFORD LANEI F77
Tenant Name CHAD & ELIANA COPPOLA # Units
i
2. Description of Work
Use RESIDENTIAL
Valuation $ 0o0
DESIGN AND INSTALLATION OF OVERHEAD FIRE SPRINKLER SYSTEM (NFPA 13D)
Extg Sq Ft 77 New/Added Sq Ft F523 Total Sq Ft
# Stories F
FX New [— Add (— Alter rl Demo
Check Appropriate Box for Applicant/Notif!cation
Information
3. Owner's Name
Last COPPOLA First HAD
Owner's Address
Owner's E-mail Address
1315 OXFORD LANE
City NEWPORT BEACH
State P77 Zip 2660 Telephone
r— 4. Architect/Designer's
Name Last First F77777� Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
City _ -
State F Zip Telephoned:,.
F_ 5. Engineer's Name
Last - - _ First Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State Zip TelephoneL—
c 6. Contractor's Name
Last HIGUERA First ALENTIN Lic. No. 1039977 ) Class 16
Contractor's Address
Contractor's E-mail Address
936 VIRGINIAAVE
AL _ACMEFP.COM
City LONG BEACH
State FA Zip 90605 - Telephone F22305716 -'
OFFICE USE ONLY
PERMIT NO. %�v/ •O'!Q
Oft"t +A
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $