HomeMy WebLinkAboutF2021-0243 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division Poll 6 243 �
r Fire Sprinkler F_ Fire Alarm r Fire Misc
1. Project Addresss((jNot mailing address) Floor Suite No
V f� � ��� F— 900
Tenant Name National Property Valuation Advisers # Units r-
2. Description of Work
Add/relocate 37 fire sprinklers to accommodate new ceiling layout
Use
Extg Sq Ft [— New/Added Sq Ft �— Total Sq Ft �—
Valuation $ 5,950.00
r New f"- Add r Alter Demo
# Stories
r—
Check Appropriate Box for ApplicanVNotification
F- 3. Owner's Name Last-�
First F—
Owner's Address
Owner's E-mail Address
City (`
State f
Zip f Telephone—
r 4. Architect/Designer's Name
Last First F —i Lic. No. r
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
City I_ �
State f'+
Zip_ TelephoneF—
r 5. Engineer's Name Last f
-�
.First Fs Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F— TelephoneF—
rX 6. Contractor's Name Last Parise First Ryan Lic, No. 787301 Class C-16
Contractor's Address
Contractor's E-mail Address
1261 N Lakeview Ave #J-515
City Anaheim
State CA
Zip 92807 Telephone 714-616-0295
OFFICE USE ONLYV2
_
/� Z � PERMIT NO.
TYPE OF CONSTRUCTION
v PLAN CHECK NO.
OCCUPANCY- GROUP
,.
�� PLAN CHECK FEE $