HomeMy WebLinkAboutF2020-0177 - Permit Application{ Worksheet for Fire Permit Application o `WPo"s
City of Newport Beach - Building Division
Please print 3 copies ZD La L)
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Associated Building Permit #
IXC Fire Sprinkler Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor Suite No
18 BALBOA COVES -_-___
7!
Tenant Name r`— # Units
2. Description of Work III
FIRE SPRINKLERS FOR A SFR (53 SPRINKLERS) Use r®®
i
Valuation $ 8,000
Extg Sq Ft r�_..^' New/Added Sq Ft _.. ;Total Sq Ft r
F_ New rl Add r Alter r Demo # Stories I3
Check Appropriate Box for Applicant/Notification
17, 3. Owner's Name
Last~. First
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Owner's Address
-
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Owner's E-mail Address
City
State I�___
f ZAP r" Telephone����`��
(X 4. Architect/Designer's Name Last VO FirstJOHN Lic. No.
Architect/Designer'sAddress
526 N SHADYDALE AVE
Architect/Designer's E-mail Address IIII ____ __ __ __
- -
FIREGUARDSS@GMAILCOM
City IWEST COVINA
State CA Zip 91790 Telephone714-310-0194
j 5. Engineer's Name
Last First F�—
Engineer's Address
...-_ Lic No. l
_ Engineer's E-mail Address ii _
17
City
F_"._...
State—___
Zip
�._._._. Telephoner
-....
.
RT 6. Contractor's Name
Last FIREGUARD SPRINKLER First Lic No. 992002 Class 16
- - F, --
Contractor's Address
7907 LEEDS STREET
City DOWNEY StateCA
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
Contractor's E-mail Address
FIREGUARDSS@GMAILCOM "
Zip90242 Telephone 714-310-0194
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $