HomeMy WebLinkAboutF2022-0323 - Permit ApplicationWorksheet for Fire Permit Application]
Print Form City of Newport Beach -Building Division
Please print 3 copies
Associated Building Permit # X2022-0907 r Fire Sprinkler r Fire Alarm j— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
F_ 200
5020 Campus Drive, Newport Beach, CA 92660
_ _
# Units
Tenant Name United MD
2. Description of Work
Use
Add 38 pendent sprinklers and 20 upright sprinklers.
Valuation $ 5,500.00
Extg Scl Ft New/Added Scl Ft r Total Scl Ft 2518
# Stories
I— New r Add Ir Alter (— Demo
Check Appropriate Box for Applicant/Notification
I-S_...Y _L'.....
r 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City... _
State F_Zip
F_ Telephone
F_ 4. Arch itect/Designer's Name
Last I I�Cr wv& —„ First ] Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_
Zip F— Telephone��
r 5. Engineer's Name Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State ��
Zip Telephone
(X 6. Contractor's Name Last CJ Suppression, Inc.
First Lic. No. 721124 Class C-16
Contractor's Address
Contractor's E-mail Address
205 Lewis Court
construction@cjsuppression.com
City Corona
State CA
Zip 92882 Telephone 951-735-5560
OFFICE USE ONLY
1
�
PERMIT NO. 43
'
TYPE OF CONSTRUCTION
V
.�"' PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $