HomeMy WebLinkAboutF2023-0282 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
1225 Jasmine Ave Tenant Name
2. Description of Work
Fire sprinklers for SFR(41 heads) —
Extg Sq Ft f:zw/AddFd Sq Lt
'i New I F Add r" Aber D-mo
15< Fire Sprinkler Fire Alarm F Fire Misc
Check Appropriate Box for ApplicantlNotification
Floor
Suite No
# Units
F
Use
Valuation $ 7,000 f
Total Sq Ft F
i
# Stories s
f 3, Owner's Name i_asi ;
First
Owners Address
t i
City 1
State j
Owners E-mail Address I
zip Telephone
X 4. ArchitectlDesigner's Name
Las, ivo
First John Lic. No.
i Architect/Designers Address
Arcivtect/Designers E-mail Address
_
( 1 526 INShad dale Ave
y
ifi,,eguardss@gmail.com
i,eyuardss@gmail.com `
City 1West Covina
State rCA
Zip 1191790 Telephone 714-310-0194
i
5. Engineer's Name fast
First I — Lic. No.
j
Engineer's Address
E meFr, E-mail Address
f
j
4 City
State
7 ipi elepY onel
X 6. Contractor's Name Las' Fi eyuwel `SI71 n Ier Systems -Irst Lic. No. i992002 Class 16
Contractors Address_--
Con Iac crt, E-Ris.1 Address
_ —
i 17907 Leeds Street
J_— — —�
Ifireguarrssr�!ornail.com
City (Downey
I
State iCA
Zip90242 Telephone 714-310-0194
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Z
PERMIT NO.
OFFICE USE ONLY
TYPE OF CONSTRUCTION ______
PLAN CHECK NO.
OCCUPANCY - GROUP —____
PLAN CHECK FEE $