HomeMy WebLinkAboutF2020-0369 - Permit ApplicationPrint Form Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # r Fire Sprinkler r, Fire Alarm (-', Fire Misc
�dEWPokT
oPP�P
r New r— Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last Firstr�
# Stories ► 11 /
Owner's Address Owner's E-mail Address
City ,. State F_ Zip— TelephoneF_
r 4. Arch itect/Designer's Name Last Gutierrez First Rubi Lic. No.
Architect/Designer's Address ArchitectIDesigner's E-mail Address
8085 E. Crystal Dr. RubiG@resfire.com
City Anaheim StateCA Zip 92807 Telephone (714)666-8450
r,& 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 F92807 Telephone(714)666-8450
OFFICE USE ONLY PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP
014-I —Z39--
PLAN CHECK FEE $