HomeMy WebLinkAboutF2021-0205 - Permit ApplicationPrint Form Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
z i
s t Building Per it #
(XI Fire Sprinkler r_ Fire Alarm
� Fire Misc
1. Project Address (Not_ mailing address)
2707 Blue Water ._-_.
_. _..... _
Tenant Name I—
_ _
Units
2. Description of Work
H:.
Fire sprinklers for new SFR (46 sprinklers) -Ile
Extg Sq Ft F New/Added Sq Ft--: Total
S Ft I
9
(- New F Add F- Alter r Demo
# Stories
I III-
Check Appropriate Box for ApplicanVNotification
- _.. .
F-i 3. Owner's Name Last I __... _ 'First F—
Owner's Address � -_ ---�
Owner's E-mail Address
City State F_ Zip
-- Telephone
jx4. Architect/Designer's Name Last �Vo
_. .
Architect/Designer's Address --
First JohnLic.No, F
Architect/Designer's E-mail Address
526 N Shadydale Ave .._,._-- —^`
fireguardss@gmail.com
City West Covma _ State CA _
Zip 91790 Telephone 7143100194
i 5. Engineer's Name Last
.__. FvstF —
Lic. No. �YI
Engineer's Address -- _
Engineer's E-mail Address
City State F__
- Zip Telephone---i
[(! 6. Contractor's Name Last Fireguard Sprinkler Systems; First
ste_ _ F�-�-~ - Lic No. 992002 -Class 16
Contractor's Address -
7907 Leeds Street Contractor's E-mail Address
itireguardSS@gmail.com
City Downey -.. State CA
Z'p r0242 Telephone 7143100194
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
PERMIT NO. t'(-
PLAN CHECK NO.
PLAN CHECK FEE $