HomeMy WebLinkAboutF2022-0076 - Permit Application (2)Print Form
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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
r', Fire Sprinkler F_ Fire Alarm n Fire Misc
US,
1. Project Address (Not mailing address) Floor Suite No
434 Fernleaf Ave., Corona Del Mar, CA 92625 Fi
Tenant Name # Units
Owner's Address
2. Description of Work
Use SFR
Design build a new 3 -story overhead RESIDENTIAL fire sprinkler system in accordance with
2019 NFPA 13D - (42) sprinkler heads.
City Newport Beach
Valuation $ 6,600.00
Extg Sq Ft F® New/Added Sq Ft 3,528 Total Sq Ft 3,528
F 4. Architect/Designer's
Name Last
# Stories I
(x New r Alter r Demo
I- Add
Check Appropriate Box for Applicant/Notification
FT 3. Owner's Name
Last Pembroke -Martin
FirstJohn & Karen
Owner's Address
Owner's E-mail Address
1724 Port Margate Place
City Newport Beach
State CA
Zip 92660 Telephone (949) 278-0541
F 4. Architect/Designer's
Name Last
First F Lic. No. r
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_'.
Zip F_ Telephonedi
(x 5. Engineer's Name
Last Vu
�, First Anthony Lic. No. 1038755
I
Engineer's Address
Engineer's E-mail Address
9559 Nightingale Ave
ifireprotectiondesign@gmail.com
City Fountain Valley
State CA
Zip 92708 Telephone (714)_234-9633___
rx 6. Contractor's Name
Last Nguyen First Vincent Lic. No. 1084661 Class C16 '..
Contractor's Address
Contractor's E-mail Address
9182 Alwick Circle
xfireprotectiongroup@gmail.com
City Garden Grove
State CA
Zip 92841 Telephone (714) 231-5108
OFFICE USE ONLY
„"� PERMIT NO. Ft.z� od15
TYPE OF CONSTRUCTION
PLAN CHECK NO. V , irQi„t,
OCCUPANCY - GROUP
V A r
, �� PLAN CHECK FEE $