HomeMy WebLinkAboutF2021-0060 - Permit ApplicationPlease print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
f2021- Doli D
F Fire Sprinkler (` Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
1417 Edgewater
Tenant Name r
2. Description of Work
Fire sprinklers for new SFR (28 sprinklers)
Extg Sq Ft F— New/Added Sq Ft Total Sq Ft F�_�
r New r Add r Alter r! Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Stories
rx-,,, 4. Architect/Designer's Name Last Vo First [John Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
526 N Shadydale Ave fireguardss@gmail.com
City rWest Covina StateCA Zip 91790 Telephone 7143100194
r 5. Engineer's Name Last �, First �— -- - Lic No.
Engineer's Address
Engineer's E-mail Address
State
Zip •: Telephone
- --
city
_ W ._ _
F>-( 6. Contractor's Name Last Fireguard Sprinkler Systems First _. ',. Lic. No. _992002 _ Class 16,
Contractor's Address Contractor's E-mail Address
37907 Leeds Street [fireguardss@gmall.com
City Downey 1 State rA Zip 90242 Telephone 7143100194
.._.. ..-...._._ 0 9 - ....
OFFICE USE ONLY � �-: _ '� PERMIT NO, T'
TYPE OF CONSTRUCTION,„`���111111 PLAN CHECK NO.
OCCUPANCY- GROUP �GI ,/�p�jG-� PLAN CHECK FEE $ -