HomeMy WebLinkAboutF2023-0110 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing
Via Lido Nord, Newport Beach
Tenant Name
2. Description of Work
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
address)
and Installation of Fire Sprinkler System per NFPA 13D
Ix Fire Sprinkler I— Fire Alarm I— Fire Misc
Extg Sq Ft F — New/Added Sq Ft �— Total Sq Ft 5,325
(K New I— Add i— Alter r Demo
�t>FW�gT
mry(S�1
V i
C�tyocl.P
Floor Suite No
F
1 Z ✓� # Units F
52 hecac{s
Check Appropriate Box for Applicant/Notification
F- 3.Owner's Name Last I First
Owner's Address Owners E-mail Address
Use
Valuation $ 16,260
# Stories F
State
�—
Zip
F— Telephone�—
City
F.--
First
FRubi Lic. No.
r 4. Architect/Designer's Name
Last
Gutierrez
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
8085 E. Crystal Dr.
RubiG@resfire.com
Anaheim
State CA
Zip F92807 Telephone (714)666-8450
City
[— 5. Engineer's Name Last
First Lic. No.
l-----
F
Engineers Address
Engineer's E-mail Address
City ii
State �—
Zip
[_ Telephoned_
pContractor'ss Name Last Residential Fire Systems First �Lic. No.786965 Class C-16
s Contractor's E-mail Address
r. engineering@resfire.com
State CA Zip 92807 Telephone (714)666-8450
OFFICE USE ONLY ��� ('qo-7 PERMIT NO. r7
TYPE OF CONSTRUCTION PLAN CHECK NO. (DC7 Jh� — Dt I J3
OCCUPANCY - GROUP PLAN CHECK FEE $