HomeMy WebLinkAboutF2021-0125 - Permit ApplicationWorksheet for Fire Permit Application ON
City of Newport Beach - Building DivisionPlease print 3 copies
Associated Building Permit # rK— Fire Sprinkler r Fire Alarm rl Fire Mist
1. Project Address (Not mailing address) Floor Suite No
319 Narcissus Avenue, Corona Del Mar, CA 92625 F_ F_
_.
Tenant Name _.
#Units
2. Description of Work
Use SFR
Design/build 3-stories RESIDENTIAL fire 2016 NFPA 13D - (32) heads.
a sprinkler system as per
Valuation $ 5,300.00
Extg Sq Ft N/A New/Added Sq Ft 3,338 Total Sq Ft 3 338
# Stories
III
!< New F_ Add r, Alter F_ Demo
Check Appropriate Box for Applicant/Notification
rx. 3. Owner's Name
Last (Rapp ;First Michael &.Violet
Owner's Address
Owner's E-mail Address
319 Narcissus Avenue,
City Corona Del Mar
State CA Zip 92625 Telephone (949) 679-6663
4. Architect/Designer's Name Last First F —' Lic. No.--
Architect/Designer's Address
Architect/Designer's E-mail Address
City �
State F_' Zip F Telephone—
r 5. Engineer's Name
Last IVu First Anthony Lic. No. F1038755
Engineer's Address
Engineer's E-mail Address
9559 Nightingale Ave
ifireprotectionsales@gmail.com
City Fountain Valley
State CA Zip 92708 Telephone (714) 231-5108
6. Contractor's Name
Last Vu First Anthony Lic No. 1038755 Class C16
Contractor's Address
Contractor's E-mail Address
9559 Nightingale Ave
fireprotectionsales@gmail.com
City Fountain Valley
State CA Zip 92708 Telephone (714) 231-5108
OFFICE USE ONLY
PERMIT NO. . OIZJ<�, `
i
TYPE OF CONSTRUCTION PLAN CHECK NO. 1A Z_
OCCUPANCY- GROUP����
PLAN CHECK FEE $