HomeMy WebLinkAboutF2021-0328 - Permit ApplicationPrint Form Worksheet for Fire Permit Application ��`�Rra
City of Newport Beach -Building Division
Please print 3 copies "''
Associated Building Permit #
r Fire Sprinkler r Fire Alarm I- Fire Misc
1. Project Address (Not mailing address)
Floor Suite No
( F_
440 Fernleaf Avenue
Tenant Name
# Units F
2. Description of Work
Use
NFPA 13D Fire Sprinkler System 1%5
V&4
Valuation $ 9,209
Extg Sq Ft F- New/Added Sq Ft F-
Total Sq Ft 3,527
Q0 4
# Stories
r New j- Add r Alter r Demo
ur)!+ it)- 22 Inc
d5
t
Check Appropriate Box for Applicant/Notification
f- 3. Owner's Name Last �glta '{>,tM (�
First F_
Owner's Address
Owners E-mail Address
City State I
Zip F Telephone�-
4. Architect/Designees Name Last Gutierrez
First Rubi Lic. No.�
Architect/Designer's Address
Architect/Designer's E-mail Address
8085 E. Crystal Dr.
RubiG@resfire.com
City Anaheim State CA
Zip 92807 Telephone (714)666-8450
r- 5. Engineer's Name Last
First F Lic. No. F
Engineer's Address
Engineer's E-mail Address
City � State F_
Zip F_ Telephoner
r 6. Contractors Name Last Residential Fire Systems
First Lic. No. 786965 Class C-16
Contractor's Address
Contractors E-mail Address
8085 E. Crystal Dr.
engineering@resfire.com
City Anaheim State CA
Zip 92807 Telephone (714)666-8450
OFFICE USE ONLY ,/ PERMIT NO.
TYPE OF CONSTRUCTION J� vV v
PLAN CHECK NO. 1-1 11021
OCCUPANCY- GROUP P '
PLAN CHECK FEE $