HomeMy WebLinkAboutF2019-0466 - Permit ApplicationPrint Form':'
Please print 3 copies
Associated E..ding Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
r, Fire Sprinkler r, Fire Alarm Fire Misc
1. Proje, , Address (Not maiiing address) —
2312 Laurel Place
Tenant Name ._ ___.._ __......
O 2EW PART@
Floor Suite No
# Units
2. Description of Work Use
rNFPA 13D Fire Sprinkler System
_..... 1
-
Extg Sq Ft F7777New/Added Sq Ft �� Total Sq Ft F
Valuation $ 800 ..
# Stories�i
j—j New (�: Add r: Alter rl Demo �~
Check Appropriate Box for Applicant/Notification
3. Owner's Name
Last F,y�� \ First S� i
Owner's Address
Owner's E-mail Address
State F77Zlp
Telephone
City
_
_._ i
RuLic. No.Architect
�—,
(X, 4. Architect/Designer's Name Last
Gutierrez
,bi
First
Architect/Designer's Address
Designer's E-mail
8085 E. Cryaal Dc
State CA
RubiG@resfire.com
Zip 92807 Telephone (714)666-8450
City
Anaheim
Firstr � Lic.No.�—,
j"`, 5. Engineer's Name
Last
Engineer's Address
Engineer's E-mail Address
(State—j '
Zip Telephoned—�
City
__..._
First �; Lic. No. 756965 j Class C 16
F7 6. Contractor's Name
Last
Residential Fire Systems
Contractor's Address
Contractor's E-mail Address
8085 E. Crystal Dc
_.. _.
._. _...._ .
State CA
engineering@resfire.com
Zip 92807 Telephone (714)666-8450
City
Anaheim
——
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OFFICE JUSE ONLY
PERMIT NO.
'
PLAN CHECK NO.
TYPE OF CONSTRUCTION 1
OCCUPANCY - GROUP)
PLAN CHECK FEE $