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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
FX Fire Sprinkler r— Fire Alarm F- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1700 E. Oceanfront, Newport Beach F I
Tenant Name # Units F
2. Description of Work
NFPA 13D Fire Sprinkler System Use
Valuation $ 11,395
Extg ScFt—New/Added Sq Ft �— Total ScFt 3,666 �''�
r New I— Add # Stories I3
(— Alter r Demo ,�q her..—ICiS
yr rc�n r ppropneie box 4or Appl lcant/Notltl cation
i— 3. Owner's Name Last
7435)er OcrA K_ fepw}' First LL(,
Owner's Address
Owner's E-mail Address
City
State �— Zip r— Telephoner—
FX 4. Architect/Designer's Name
Last Gutierrez First FRubi Lic. No.F
Architect/Designer's Address
Architect/Designer's E-mail Address
8085 E. Crystal Dr.
RubiG@resfire.com
City Anaheim
State CA Zip r92807 Telephone (714)666-8450
r 5. Engineer's Name Last
First— LicNo. �--
Engineers Address
Engineer's E-mail Address
City �—
State F_ Zip [_ Telephone—
r 6. Contractor's Name Last Residential Fire Systems First— Lic No. 786965 Class C-16
Contractors 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
\/ L I J PERMIT NO. (%2 022, . Vrj I'm
TYPE OF CONSTRUCTION
PLAN CHECK NO. �G ZyZ2.2j2
OCCUPANCY- GROUP
n 42 / ®`G PLAN CHECK FEE $