HomeMy WebLinkAboutF2023-0171 - Permit Application;m
,nt 3 copies
,ted Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
. Project Address (Not mailing address)
1 117 G. Street
Tenant Name
2. Description of Work
900
IX Fire Sprinkler (— Fire Alarm r Fire Misc
Design and Installation of Fire Sprinkler System per NFPA 13D
Extg Sq Ft I New/Added Sq Ft Total Total Sq Ft 2,924
Floor Suite No
# Units r
Use
Valuation $ 8,760
r New r Add r Alter a4 k,ecds #Stories I-
j— Demo
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last I od(LL
First
Owner's Address
Owner's E-mail Address
City
State I
Zip F— TelephoneF—
r 4. ArchitecVDesigner's Name Last
Gutierrez
First Rubi Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
8085 E. Crystal Dr.
RubiG@resfire.com
City Anaheim
State CA
Zip 92807 Telephone (714)666-8450
[` 5. Engineer's Name Last
First— Lic. No.
Engineers Address
Engineer's E-mail Address
City �—
State I—
Zip F— Telephoned
r 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. �y/Z�?✓-/7I'7
TYPE OF CONSTRUCTION —
aO
PLAN CHECK NO. fyLfJG�J' DU
OCCUPANCY - GROUP
2o�2-�I!
roPLAN CHECK FEE $