HomeMy WebLinkAboutF2020-0385 - Permit ApplicationPlease print 3 copies
Associated Building Permit #
Worksheet for Fire Permit ApplicbitionJ�3 of `W�am
City of Newport Beach - Building Division �� a
I"X Fire Sprinkler C"',. Fire Alarm f7l Fire Misc
1. Project Address (Not mailing address) Floor
Suite No
4733 Dorchester Road F�
Tenant Name #Units
F
.. - -.._
2. Description of Work
ire sprinklers for SFR (46 sprinklers)
Extg Sq Ft �.-. YY� , New/Added Sq Ft '�, Total Sq Ft
C New rJ Add (" Alter F—, Demo
Check Appropriate Box for Applicant/Notification
Use
Valuation$ 8,000
[ 3. Owner's Name Last First F
Owners Address Owner's E-mail Address
City _... _ State Zip r TelaphoneF�,
4. Architect/Designer's Name Last jV�oI First John 'I Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
526 N Shadydal e Ave fireguardss@gmail.com
City West Covina State CA Zip 91790 Telephone 714-310-0194
ri.. 6. Contractor's Name Last Fireguard Sprinkler Systems First I Lic No. 992002 Class F16„
Contractor's Address Contractor's E-mail Address
7907 Leeds Street fireguardss@gmaii.com
City Downey State CA Zip 9024'2 Telephone 714-310-0194
OFFICE USE ONLY 1� 2d l� „� ( �� PERMIT NO. 4DIU-U!"�t7
TYPE OF CONSTRUCTION q I Z6, PLAN CHECK NC
OCCUPANCY - GROUP 2���Z ' PLAN CHECK FEE $