HomeMy WebLinkAboutF2019-0012 - Permit ApplicationWorksheet for Fire Permit Application U
Print Form,_ i City of Newport Beach -Building Division 00q8 -,201q
Please print 3 copies F -,20/? -00/,9F -,20/? -00/,9
Associated Building Permit #
iX Fire Sprinkler F_ Fire Alarm
F— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
7401 Seashore Dr., Newport Beach, CA 92663 F
Tenant Name # Units F-
2. Description of Work
Owner's E-mail Address
Use SFR
Design and install new overhead residential fire sprinkler system. (Tota 25 -heads)
City Arcadia State
Extg Sq Ft N/A New/Added Sq Ft 2,993 Total Sq Ft 21993
Valuation $ 5,100
F_ 4. Architect/Designer's Name Last
#Stories
FX New F- Add r Alter F- Demo
Architect/Designer's Address
Check Appropriate Box for Applicant/Notification
FX_ 3. Owner's Name Last Clarizio
First Chris
Owner's Address
Owner's E-mail Address
1414 Orlando Drive
City Arcadia State
CA
Zip 91006 Telephone (949) 392-3030
F_ 4. Architect/Designer's Name Last
First Lic. No. F—
Architect/Designer's Address
Architect/Designees E-mail Address
City �— State
�—
Zip I— Telephoned
F_ 5. Engineer's Name Last �—
First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City State
I
Zip � TelephoneF_
Fx 6. Contractor's Name Last Vincent First Nguyen Lic. No. 902053 Class C-16
Contractor's Address
Contractor's E-mail Address
1601 West Orangewood Avenue
vnguyen@adfiresprinklers.com
City Orange State
CA
Zip 92868 Telephone (714) 634-3923
OFFICE USE ONLY
PERMIT NO.C�IR
TYPE OF CONSTRUCTION
PLAN CHECK NO. C�9
OCCUPANCY- GROUP
rXF PLAN CHECK FEE $