HomeMy WebLinkAboutF2023-0361 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not
540 Hazel Drive
i enant Name
2. Description of Work
Fire sprinklers for SFR (39 heads)
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
address)
Extg Sq Ft New/Added Sq Ft
r New j Add r— Alter 7- Drn+a
D< Fire Sprinkler F— Fire Alarm F Fire Misc
Check Appropriate Box for AppiicatidNotification
...anfo ma}inn
f— 3. Owner's Name Last
Owners Address
Total Sq Ft
First
Owner's E-mail Address
State Zip Telephone
7 4. Architect/Designer's Name Last IVc
Architect/Designer's Address
526 N Shadydale Ave
City FWestCovina State iCA
Use
First John
Archtect/Designers F-mail Address
fireguardssagmail.com _
QW.
Floor Suite No
# Units
Valuation $ 7,000
# Stories I1_
+r`� T)aSf'rntrri
Zip 91790 Telephone(714-310-0194
Lic. No.
5. Engineer's Name Last I F�
� First'; IisNo.+
1
j r-ngineer's Address _ Engineer's E--nail Address
+ cityp i_.._
i I State Tale hone
6
6. Contractor's Name Last Fireguard Sprinkler Systems First Lic. No. 992002 Classll6
r- - - I
Contractor's Address Contractor's E-mailt=-mail Address
i i7907 Leeds Street ifireguarciss(a7gmail.com
C,ty iDowney State 1C.A Zip 190242 Telephone 71.4-310-0194
OF -FILE USE 0AIL y R PERMIT NO �Z�
TYPE OF CONSTRUCTION iC� 3Zy5 PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $ -- --- -