HomeMy WebLinkAboutF2021-0183 - Permit ApplicationWorksheet for Fire Permit Application!
Print Form
City of Newport Beach -Building Division Please print 3 copies 6021-U1l&3
Associated Building Permit # Fx- Fire Sprinkler i—Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
417 Narcissus Avenue, Corona Del Mar, CA 92625 I
Tenant Name # Units F
2. Description of Work
417 Narcissus Avenue,
Use SFR
Design/build a 3 -stories RESIDENTIAL fire sprinkler system as per 2016 NFPA 13D - (36) heads.
Extg Sq Ft N/A New/Added Sq Ft 3,338 Total Sq Ft 3,338
Valuation $ 5,900.00
-
Architect/Designer's Address
#Stories
(X New Add (- Alter r Demo
I
Check Appropriate Box for Applicant/Notification
I nfnrm �4inn
3. Owner's Name
Last Rucker First Foyd
Owner's Address
Owner's E-mail Address
417 Narcissus Avenue,
City Corona Del Mar
State CA Zip 92625 Telephone (949) 463-4509
r- 4. Architect/Designer's
Name Last �— First --tfc. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City �—
State F Zip �— Telephoner
]x 5. Engineer's Name
Last Vu First Anthony Lic. No. 1038755
Engineer's Address
Engineer's E-mail Address
9559 Nightingale Ave
ifireprotectionsales@gmail.com
City Fountain Valley
State CA Zip 92708 Telephone (714) 231-5108
Cx 6. Contractor's Name
Last Vu First Anthony Lic. No, 1038755 Class F16
Contractor's Address
Contractor's E-mail Address
9559 Nightingale Ave
ifireprotectionsales@gmail.com
City Fountain Valley
State CA Zip 92708 Telephone (714) 231-5108
OFFICE USE ONLY
PERMIT NO. ff'b2 j -- 61$3
TYPE OF CONSTRUCTION -"Ux Mt R J+11i1 PLAN CHECK NO. 065 2021
OCCUPANCY - GROUP
1pI � dv�5 PLAN CHECK FEE $