HomeMy WebLinkAboutF2021-0469 - Permit Application (4)Print Form
Please print 3 copies
Associated Building Permit #
1. Project
cm� I LUAST HIGHWAY
Worksheet for Fire Permit Application \�M oNE��ge City of Newport Beach - Building Division " � V
Fire Sprinkler F Fire Alarm F Fire Misc
Tenant Name MOTHERS MARKET & KITCHEN
2. Description of Work
PrRINKLER DROPS FOR NEW WqL v ivry ANU RELOCATION OF EXISTING FIRE
UROOM CONFIGURATIONS.
Extg Sq Ft 769 New/Added Sq Ft F_� Total Sq Ft 769
r New F Add F9 Alter j- Demo
Check Appropriate Box for Appiicant/Notification
FX 3. Owner's Name
Last MOSHAYEDI
Owner's Address First MARK
17475 GILLETTE Owner's E-mail Address
Floor- Suite
F IB
# Units F
Use
IValuation $ 9413
#Stories I1
02 i �COl�sr K� �L�
A 9 N Zo l
INE
---------------
State CA Zip 2614 Telephone
hitect/Designer's Name
(949) 350-4019
Last FURRERDesigner's
Address
First AMEREN Lic. No. 161069002
RANGEWOOD AVE
r
ArchitecUDesigner's E-mail Address
NGEState
FURRER@ADFIRESPRINKLERS.COM
CAZip
2868Telephone
(714) 6343923
neer's Name Last
First Fddress Lic. No.
Engineer's E-mail Address
City
State �- Zip �-Telephone�—
rX 6. Contractor's Name Last &D FIRE
Contractor's Address
Fjrst �— Lic No. 1069002 Class 16
1601 WORANGEWOODAVE
Contractor 's E-mail Address
City
RANGE
FURRER@AD FIRESPRIN KLERS. COM
State CA —
Zip 2868 Telephone
(714) 634-3923
OFFICE USE ONLY
TYPE OF CONSTRUCTION PERMIT NO.
OCCUPANCY - GROUP I �" _ D PLAN CHECK NO.
PLAN CHECK FEE $