HomeMy WebLinkAboutF2023-0281 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Nol
SANDPOINT WAY
NE VpR
Worksheet for Fire Permit Application r m
City of Newport Beach - Building Division
L&.tg. 1 con °" a
iR Fire Sprinkler r Fire Alarm r Fire Mlsc
addressl
Tenant Name ISWICK RESIDENCE
2. Description of Work
ADD AUTOMATIC FIRE SPRINKLER SYSTEM TO THE MAIN RESIDENCEPERNFPA13D.
Sol • �++&
Extg Sq Ft F— New/Added Sq Ft 6476 Total Sq Ft 6746
5? New F_ Add r- Alter F- Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units �—
Use
Valuation $ 16190.00
# Stories I2
F 3.Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State F
Zip F— Telephoned
r 4. Architect/Designer's Name
Last
First F_ Lic. No.
ArchitectlDesigner's Address
ArchitecUDesigner s E-mail Address
as
ZIP Telephone
j 5. Engineer's Name Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City �
State F_
Zip F— Telephoned
fjZ 6. Contractor's Name Last ANZAI First STACEY Lic. No. 787301 Class C16
Contractor's Address
_
Contractor's E-mail Address
1261 N. LAKEVIEW AVE
stacey@avalonfire.com
City ANAHEIM
State-ICA
Zip 92807 Telephone 714-238-9285
OFFICE USE ONLY
TYPE
PERMIT NO.
19111
OF CONSTRUCTION
PLAN CHECK NO. 11
OCCUPANCY - GROUP
PLAN CHECK FEE $
Mal • Ot"1 (&a 1 P I L, 11 LfS U2%)