HomeMy WebLinkAboutF2021-0629 - Permit Application�yy Worksheet for Fire Permit Application
Phase print 3 copies � City of Newport Beach -Building Division � I�
( � O
Associated Building Permit # I FX Fire Sprinkler I' Fire Alarm r'; Fire Misc
1. Project Address (Not mailing
Tenant Name
2. Description of Work
Fire sprinklers for remodel/addition (A,9Iprinklers)
Floor
Suite No
# Units
F
Extg Sq Ft F-7 New/Added Sq Ft Total Sq Ft
I— New r: Add (- j Alter rl Demo
cnecK Appropriate Box for Applicant/Notification
F 3. Owner's Name Last F 1Ayv First F__P;Z_
Owner's Address Owner's E-mail Address
(x! $. Contractor's Name Last Firequard Sprinkler Systems First Lic. No. 992002 Class 16
Contractor's Address Contractor's E-mail Address
17907 Leeds Street fireguardss@gmail.com
City Downey _ Stale SCCA 1 Zip 90242 Telephone 714-310-0194
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO. �nn-i
PLAN CHECK NO,
X�t' IIS PLAN CHECK FEE $