HomeMy WebLinkAboutF2023-0591 - Permit ApplicationL Print Form
Ay ase print 3 copies
Associated Building Permit #
1. Project Address (Not mailini
�205 28th Street
Tenant Name F
2. Description of Work
[Fire sprinklers for new MFR (40 heads)
Worksheet f: r• Fire Permit Application
City of Newport Beach - Building Division
V Fire Sprinkler F- Fire Alarm j- Fire Misc
r Extg Sq Ft I New/Added Sq Ft Ij
— Total Sq Ft
�- New I Add j Alter F-- Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units r
Use
Valuation $ 8,000
# Stories i_
1
!-" 8. Owner's Name
Owner's Address _
City
Last �-- _--------------"_-
State i
First
Owner's E-main Address --
Zip I (alephonel—
N 4. Architect/Designer's
Name Last No -
-�� First IJohn Lic. No.
Address
ArchitenDesigners E-mail Address
tArchitect/Designers
b26 N Shadydale Ave
_ _
-- —�
fireguardss( grnai; ,;om
City West Covina
- _ State GA
p 91790 Taiephore1714-310-0194
--
9L
S. Engineer's Name
!$ I- y
Last r
I.
{----- Lic. No.
Fir
r:
s'[
Engineer's Address
E ngi leer's E-rnai Ade-ess
u
City �----------
State r'- -------,
Zip _..--- _aleoht,nel
R 6. Contractor's Name
Last r=ireyuard Sprinkler Systeirts
First Lic No. 992002 Class tb i
Contractor's Address
Contractor's E-mail Address
7907 Leeds Street
j firequardss@grrail.corr. ry
City Downey
Y
Mate CA
(
zipI ---
190242 Teiepnone�714-310-0194
p L
L
v PERM6T NO.
i OFFICE USE ONLY /�'•� z 3�j
TYPE OF CONSTRUCTION _.___ �4ry PLAN CHECK NO.
OCCUPANCY - GROUP ✓�(3 PLAN CHECK FEE $
2