HomeMy WebLinkAboutF2021-0158 - Permit Applicationworksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # F Ix', Fire Sprinkler r-, Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
L1842 Port Westbourne Place
Tenant Name
2. Description of Work
sprinklers for SFR (59 heads)
Extg Sq Ft 1 _. _ New/.Added Sq Ft �_--.,-', Total Sq Ft
r New r-,, Add f-, Alter r Demo
vnecK mppropnate aox ror Hppncanurvoi rlcation
Floor
Suite No
# Units
F
Use
Valuation $ 9,000
#Stories F
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F,, 4. Architect/Designer's Name Last Vo First Fjohn Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
526 N Shadydale Ave fireguardss@gmaii.com
City West Covina State CA Zip 91790 ! Telephone7143100194
[R5:6. Contractor's Name Last Fireguard Sprinkler Systems FirstLic. No. 992002 Class 16
Contractor's Address Contractor's E-mail Address
7907 Leeds Street
ifireguardss@gmaii.com
- -
City Downey State SCA Zip 90242 Telephone 7143100194
OFFICE USE ONLY
TYPE OF CONSTRUCTION —
OCCUPANCY - GROUP
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PLAN CHECK NO,
PLAN CHECK FEE $