HomeMy WebLinkAboutF2018-0403 - Permit ApplicationPrint l=orm - Worksheet for Fire Permit Application U�cr-al
City of Newport Beach - Building Division
Please print 3 copiesF'� ��� H5,
Associated Building Permit # ru Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
124 Via Harve Newport Beach, CA 92663
F
F—
Tenant Name
# Units �-
2. Description of Work
Name Last I First Lic. No. F
ArchitectlDesigner's Address
Architect/Designer's E-mail Address
Installation of a new residential overhead fire sprinkler system per NFPA((47-hea )
Use SFR
5. Engineer's Name
Extg Sq Ft N/A New/Added Sq Ft 3,992 Total Sq Ft 3,992
Valuation $ 6,200
F- New r' Add r Alter r Demo
#Stories 2
Check Appropriate Box for Applicant/Notification
FX_ 3. Owner's Name
Owner's Address
Last Reuter First
�, �it"r�T�s �� • ��
Owner's E-mail I Address
887 Production Place
Mark@reuterhomes.com
City Newport Beach
State CA Zip 92663 Telephone (949) 645-5824
F_ 4. Arch itect/Designer's
Name Last I First Lic. No. F
ArchitectlDesigner's Address
Architect/Designer's E-mail Address
City �
State F— Zip F— Telephone—
5. Engineer's Name
Last I— First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State r Zip F— Telephone—
FX_ 6. Contractor's Name
Last Nguyen First Vincent Lic. No. 1003050 Class 116
Contractor's Address
Contractor's E-mail Address
1227 Flynn Road, Suite #307 vincent@firesprinklersdoneright.com
City Camarillo
State CA Zip 93012 Telephone (805) 850-2044
OFFICE USE ONLY
2j�)a, Oar(_2, PERMIT NO.
TYPE OF CONSTRUCTION -ry PLAN CHECK NO.
OCCUPANCY GROUP �� "� "" ���
-
PLAN CHECK FEE $