HomeMy WebLinkAboutF2020-0116 - Permit ApplicationWorksheet for Fire Permit Application
k'rinFarm City of Newport Beach - Building Division
Please print 3copies F2o2u0- Oil V
Associated Building Permit # OZ Fire Sprinkler Fire Alarm f— Fire h
1. Project Address (Not mailing address) Floor Suite No
F_
4527 Perham Road
Perham Residence # Units F!'''
Tenant Name
2. Description of Work
Use jr-3/L1 -- Single fam '..
Build a new residential fire sprinkler system per NFPA 13D.77 total sprinkler heads. ',,
Extg Sq Ft New/Added Sq Ft 8,276. Total Sq Ft 8,276
Valuation$ 7,
Architect/Designer's Address
# Stories 2
V, New (— Add r Alter F— Demo
City naheim
Check Appropriate Box for Applicant/Notification
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3. Owner's Name
Last Moinfar Living Trust First
Owner's Address
Owner's E-mail Address
16951 Armstrong Avenue
City Irvine
State CA Zip 92606 Telephone
F_ 4. Architect/Designer's
Name Last lAct First Fire Protection First F_ Lic. No. 830883
Architect/Designer's Address
Architect/Designer's E-mail Address
1325 N Red Gum St Ste 10 ctFirstFP@gmail.com
City naheim
State CA Zip 92806 Telephone 14-630-3916
rl 5. Engineer's Name
Last lAct First Fire Protection First Lic. No. 830883
Engineer's Address
Engineer's E-mail Address
1325 N Red Gum St Ste 10
ctFirstFP@gmail.com
City naheim
State CA Zip 92806 Telephone 714-630-3916
F_ 6. Contractor's Name
Lastct First Fire Protection FirstF—Lic No. 830883 Class C16 C34
Contractor's Address
r Contractor's E-mail Address QI^T1
1125 N Red Gum St Ste 10
ctFirstFP@gmaii.com 1� St.V►��
City naheim State FCA_ Zip 92806 Telephone714-630-3916
OFFICE USE ONLY
�b1 . PERMIT NO.
TYPE OF CONSTRUCTION •�.� ` PLAN CHECK NO. .1,1124
OCCUPANCY- GROUP
PLAN CHECK FEE $
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