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HomeMy WebLinkAboutF2020-0511 - Permit Application (2)Worksheet for Fire Permit Application City of Newport Beach - Building Division o Please print 3 copies �%� � — � � I � '-i (0 o M ci01�0­:R,_a �vl Associated Building Permit # r Fire Sprinkler r Fire Alarm f- Fire Miss 1. Project Address 460 Mendoza Terrace Tenant Name 2. Description of mailing address) Fire sprinklers for R (49 sprinklers) i Extg Sq Ft ew/A Sq Ft, Total Sq Ft F i-, New r; Add f Alter (- Demo Check Appropriate Box for Applicant/Notification 7', 3. Owner's Name Last Owner's Address First F�,.�..—..�` Owner's E-mail Address City State r_ Zip Telephone Floor # Units Use Valuation $ 8,000 # Stories Suite No ;XI 4. Architect/Designer's Name Last[Vo_'First John... Lic. No. s Architect/Designer's Address Architect/Designer's E-mail Address 526 N Shadydale Ave fireguardss@gmail.com t City West Covina _ State CA Zip 91790 Telephone 714-310-0194 (X: 6. Contractor's Name LastFireguard Sprinkler Systems First Lic No. 992002 Class 16 Contractor's Address Contractor's E-mail Address 7907 Leeds Street fireguardss@gmail.com l City Downey State CA Zip 90242 Telephone 714-310 0194 t r .... _ ...-.. ... __. r. OFFICE USE ONLY PERMIT NO. I TYPE OF CONST R PLAN CHECK NO. _ OCCUPANCY- GROUP �Wt� PLAN CHECK FEE $ —