HomeMy WebLinkAboutF2020-0455 - Permit Application (2)fico- oy
Worksheet for Fire Permit Application
City of Newport Beach - Building Division4
Please print 3 copies G<
Associated Building Permit # �V rXj Fire Sprinkler (--', Fire Alarm F7 Fire Misc
1. Project Address (Not mailing address) Floor
Suite No
11 304 Goldenrod Ave
Tenant Name # Units
2. Description of Work
Use
Fire sprinklers for new SFR (51 sprinklers) -- ---
Valuation$ 7,500.',
Extg Sq Ft I New/Added Sq Ft F Total Sq Ft
('"•'•.,, New F Add [— Alter -,, Demo #Stories
Check Appropriate Box for Applicant/Notification
F7 ', 3. Owner's Name Last First
Owner's Address Owner's E-mail Address
City--- .... StateI Zip ---.- Telephone ----_ ---„
iX; 4. Arch itect/Designer's Name Last Vo FirstJohn Lic. No.
FR6. Contractor's Name Last Fireguard Sprinkler Systems First !, Lic. No. 991002 Class 16
Contractor's Address Contractor's E-mail Address
7907 Leeds Street ' fireguardss@gmail.com ,
---- -
city Downey State CA tip 90242 _. Telephone 714-310-0194
OFFICE USE ONLY PERMIT NO. T," V' I
TYPE OF CONSTRUCTION PLAN CHECK NO. 11M WIN _. I
OCCUPANCY- GROUP
PLAN CHECK FEE $