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HomeMy WebLinkAboutF2021-0402 - Permit Application"�Z-D21 -6�fQ2 Worksheet for Fire Permit Application (1. City of Newport Beach - Building Division n/ Please print 3 copies �� —�/— (/ Associated Building Permit # �1 ✓a , r �� (� f� �I Fire Sprinkler Fire Alarm ire Misc 1. Project Address (Not mai Tenant Name 2 D Floor Suite No # Units escrlptlon of Work Fi`�e S Pf�rv� leis � new S�'R1551����s) Use i - - i Valuation $ I 0 Q©Q Extg Newt New/Added Sq Ft Total Sq Ft # Stories 12 I"' r Add r, Alter r Demo Check Appropriate Box for Applicant/Notification fszformatinn 3. Owner's DAddress Name Last �( .�� � \� �First�� � V �,�-- ner's E-mail Addre_ss City F_ _ State Zip F — Telephoner--- (xX; 4. Architect/Designer's Name LastVo First John Lic. No. ' i -- Architect/Designer's Address _ ArchitecUDesigner's E-mail Address 526 NShadydale Ave Ifireguardss@gmail.com City West Covina State Zip 91790 Telephone 714-310-0194 r-, 5. Engineer's Name Last r-- --�� First Lic No. Engineer's Address Engineer's E-mail Address city �_.. _-_ State -.... Zip �..._. Telephone; fX 6. Contractor's Name Last Fneguai_d. Sprinkler_Syslerns First ;. Lic. No. 992002 Class 1.6 Contractor's Address Contractor's E-mail Address 17907 Leeds Street rfneguardss@gmall.com City Downey State CAZip 90242 Telephone 714-310-0194 .. i 11A OFFICE USE ONLY PERMIT NO. il — � q TYPE OF CONSTRUCTION PIAN CHECK NO. �L/z OCCUPANCY - GROUP PLAN CHECK FEE $ 03