HomeMy WebLinkAboutF2020-0438 - Permit ApplicationoD�39 2-09 (,64K?CI
r ry�} , pt Worksheet for Fire Permit Application
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City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # �— �; Fire Sprinkler Fire Alarm
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r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
F205 Canal Street
I enant Name F-- _ # Units
III
2. Description of Work
Fire sprinklers for residential remodel (23 sprinklers)
Use
—7, New/Added Sq Ft
Lxtg Sq Ft r
Valuation $ 5,000
I Total Sq Ft
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New rAdd �'; Alter i `. Demo
# Stories I
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Check Appropriate Box for Applicant/Notification
'j 4. Architect/Designer's Name Last vo First
Architect/Designer's Address Architect/Designer's E-mail Address -
1526 N Shadydale Ave fireguardss@gmail.com
City West Covina State F Zip 91790 Telephone 7143100194
Lic. No.
[X.' 6. Contractor's Name Last RFRguard Sprinkler Systems First I Lic No. 992002 Class 16.
Contractor's Address Contractor's E-mail Address
F7967907 Leeds Street fireguardss@gmail.com
City Downey State ICH Zip 90242 — Telephone10
_ 0194 —
OFFICE USE ONLY PERMIT NO. _� U57
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TYPE OF CONSTRUCTION — l 1l 1� f/J ,� PLAN CHECK NO.
OCCUPANCY- GROUP PLAN CHECK FEE $ —