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HomeMy WebLinkAboutF2022-0076 - Permit ApplicationPrint Form Worksheet for Fire Permit Application 0111-_k> City of Newport Beach -Building Division4, Please print 3 copies Associated Building Permit # fX Fire Sprinkler f—Fire Alarm r Fire Misc 1. Project Address (Not mailing address) 434 Fernleaf Ave., Corona Del Mar, CA 92625 Floor Suite No Tenant Name # Units 2. Description of Work Design build a new 3 -story overhead RESIDENTIAL fire sprinkler system in accordance with Use SFR 2019 NFPA 13D - (42) sprinkler heads, Extg Sq Ft �`'' New/Added Sq Ft 3,528... Total Sq Ft 3,528 FX_ New r Add j– Alter F_ Demo Check Appropriate Box for Applicant/Notification Infnrmatl0 r 3. Owner's Name Last Pembroke -Martin First John &Karen _. _ _ Owner's Address Owner's E-mail Address 1724 Port Margate Place Valuation $ 6,600.00 # Stories i City INewport Beach State CA – ZiP 92660 Telephone (949) 278-0541 F_ 4. Architect/Designer's Name Last F� Lic. No. F777Architect Designer's Address Architect/Designer's E-mail Address City �— State [_ Zip Telephoner, FX_ 5. Engineer's Name Last First Anthony Lic. No. 1038755 Engineer's Address Engineer's E-mail Address 9559 Nightingale Ave ifireprotectiondesign@gmail.com City IFountain Valley StateCA ZIP 92708 Telephone (714) 234-9633 r6. Contractor's Name Last Nguyen First Vincent Lic. No. 1084661 'ClassC16�' Contractor's Address Contractor's E-mail Address 9182 Alwick Circle xfirerotection p 9 rou P@9mail.com City lGarden Grove State CA Zi 92841 P Telephone(714) 231-5108 OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. � V •�_ OCCUPANCY- GROUP ��� I!lItILZ. PLAN CHECK FEE $