HomeMy WebLinkAboutF2021-0073 - Permit ApplicationPrint Form Worksheet for Fire Permit ApplicationCity of Newport Beach -Building Division (111
Please print 3 copies
Associated Building Permit#
�-ZG t� , � q 19 r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
3811 River Avenue F_ �—
Tenant Name # Units F
2. Description of Work
NFPA 13D Fire Sprinkler System
Z3
Use
-- ---- ----
Valuation $ 5,456.
Extg Sq Ft F• New/Added Sq Total Sq Ft 2,620
» -
# Stories
Ix New r Add r Alter r Demo 23 ��
Check Appropriate Box for Applicant/Notification
r 3.Owner's Name Last—
FirstF—
Owner's Address
Owner's E-mail Address
City � _
State F—
Zip Telephoned
rX- 4. Arch itect/Designer's Name Last
Gutierrez
First Rubi Lic. No.
Architect/Designer'sAddress
Architect/Designers E-mail Address
8085 E. Crystal Dr.
RubiG@resfire.com
City Anaheim
State CA
Zip 92807 Telephone (714)666-8450
r 5. Engineer's Name Last �
First— Lic. No.F_
Engineer's Address
Engineer's E-mail Address
City—
State I
Zip— Telephone
6. Contractor's Name Last Residential Fire Systems
_ First- Lic. No. 786965 Class C-16
Contractor's Address
Contractor's E-mail Address
8085 E. Crystal Dr.
engineering@resfire.com
City Anaheim
State CA
Zip 92807 Telephone (714)666-8450
OFFICE USE ONLY
PERMIT NO. FZE77'iLI '
U U-' 3
TYPE OF CONSTRUCTION
PLAN CHECK NO. O
OCCUPANCY - GROUP
ZD Q b L� G PLAN CHECK FEE $