HomeMy WebLinkAboutF2021-0157 - Permit ApplicationWorksheet for Fire Permit Ali a o
City of Newport Beach - Building Division Q
Please print 3 copies
Associated Building Permit# rX Fire Sprinkler �IFireAlarm (Fire isc
1. Project Address (Not mailing address) Floor Suite No
I11819 Port Stirling Place—
.-._ (�''�'
Tenant Name It Units
1
2. Description of Work III
Use
P )Fire sprinklers for SFR (60 heads) -
Valuation $ 9,000
Extg Sq Ft New/Added Sq ——
Ft I ,Total Sq Ft �
New r Add r7 Alter r' Demo # Stories F
1 4.52
Check Appropriate Box for Applicant/Notification
.�=tfnrmatior
h'! 3.Owner's Name Last First J_—!
Owner's Address Owner's E-mail Address
City State F Zip Telephone
(Xj 4. Arch itect/Designer's Name Last (Vo� m' First (John Lic. No.
L........ !
Architect/Designees Address Arch itect/Designer's E-mail Address
526 N Shadydale Ave fireguardss@gmail.com
City VVest Covina StateCA Zip x9'1790 Telephone F7143100194
f7 5. Engineer's Name Last! First Lic. No.
Engineer's Address Engineer's E-mail Address
City— State F__! Zip Telephoner
IX 6. Contractor's Name Last Fire uardS Sprinkler stems First', Lic. No. 992002 - Class 16
9 P Y � �Wi;
Contractor's Address Contractor's E-mail Address
7907 Leeds Street A fireguardss@gmail.com
City Downey State CA Zip 90242 Telephone 7143100194
OFFICE USE ONLY
C)
l PERMIT NO. _
TYPE OF CONSTRUCTION PIAN CHECK NO.
l
OCCUPANCY -GROUP '" PLAN CHECK FEE $ --