HomeMy WebLinkAboutF2023-0164 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing
[717 Poinsettia Ave
Tenant Name F_
2. Descriotion of Work
�iWPOkT
Worksheet for Fire Permit Application o m�
City of Newport Beach - Building Division 5 y '_
(K Fire Sprinkler F Fire Alarm F- Fire Misc
Design/Install new NFPA 13D Fire Sprinkler System
Extg Sq Ft F— New/Added Sq Ft �— Total Sq Ft 3348
rX New 7 Add F_ Alter F— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
I 3
# Units 1 Z
Use
Valuation $ B10
00
# Stories �3
information
{— 3.Owner's Name
Last F_
First F�
Owner's Address
Owner's E-mail Address
City �—
State r--
Zip F_ Telephone��
F- 4. ArchitecNDesigner's
Name Last
First — Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
Zip F Telephone�—
F 5. Engineer's Name
Last F
First F---.----.-- Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F-- Telephone
(X 6. Contractor's Name
Last First F•----`•__ Lic No. 690694 Class lC-16
Contractor's Address
Contractor's E-mail Address
9129 Stellar Ct.
npfire@riceservicesinc.com
City Corona
State CA
Zip 928B3 Telephone 951 667-4220
ROM 016
OFFICE USE ONLY
PERMIT NO.
Kno- OV
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $