HomeMy WebLinkAboutF2020-0455 - Permit ApplicationWorksheet for Fire Permit Applicationmamm V
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # F Fire Sprinkler F' Fire Alarm F7, Fire Misc
1. Project Address (Not mailing address)
Goldenrod Ave
Tenant Name
2. Description of Work
Fire sprinklers for new SFR (51 sprinklers)
Extg Sq FtNew/Added Sq Ft r—.. � Total Sq Ft r
(– New(` Add (- Alter � Demo
Check Appropriate Box for Applicant/Notification
F- 3. Owner's Name Last First
Floor Suite No
F- 1-`
# Units
Use �—
Valuation $ 7,500
# Stories 3
Owner's Address Owner's E-mail Address
City I State r—, ZipTelephone��—�
F–! 4. ArchitecNDesigner's Name Last Vo First Fjohn Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
526 N Shadydale Avefireguardss@gmail.com
city West Covina State CA ZIP 91790 Tele hone 714-310-0194
(X 6. Contractor's Name Last Fireguard Spnnkler Systerris First , Lic No. 992002 Class 16
Contractor's Address Contractor's E-mail Address
7907 Leeds Street fireguardss@gmail.com
City (Downey State CA Zi rI9-�0--2-4-�2 Telephone 714-310-0194
....._. -_. .......... .. p !_ p
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO. kv 1p'
PLAN CHECK NO 2I O --WIN
PLAN CHECK FEE $