HomeMy WebLinkAboutF2021-0280 - Permit ApplicationPrint Form Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies I 021-1
9
If. 1) G<,FoaN'
Associated Building Permit # )(Z,c) Zo - t U E � r Fire Sprinkler (- Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor Suite No
125 26th
F_
Street_ __
` S
Fs Telephone
Tenant Name
# Units r�
Serra.._
Architect/Designer's E-mail Address
2. Description of Work
State
Zip F TelephoneF—
Install automatic fire sprinkler system
in new single family
Use Residence
residence.
R 3 I U
City
State I—
Valuation $ 8, 000.00
Extg Sq Ft � New/Added Sq Ft �—'
Total Sq Ft 2985
Contractor's E-mail Address
520 Texas St.
# Stories I�3"'�
jK New r Add r Alter Demo
City Redlands e
, <' ? 12—
Zip 92374 Telephone 909-793-0676
OFF/CE USE ONLY
Check Appropriate Box for Applicant/Notification
3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
StateZip
Fs Telephone
4. ArchitecVDesigner's Name
Last
First �— Lic No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
Zip F TelephoneF—
rS. Engineer's Name Last
First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State I—
Zip Telephone
FX_ 6. Contractor's Name Last Summit Fire Protection First F Lic. No.362801 Class c-16
Contractor's Address
Contractor's E-mail Address
520 Texas St.
mail@summitfirepros.com
City Redlands e
State CA _
Zip 92374 Telephone 909-793-0676
OFF/CE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. 1"L5 - %sVZ t
OCCUPANCY -GROUP
�� ,�� 6� PIAN CHECK FEE $