HomeMy WebLinkAboutF2020-0268 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # _ fXIJ Fire Sprinkler F—, Fire Alarm f—.' Fire Misc
1. Project Address (Not mailing ad
41 Beacon Bay
Tenant Name
2, Description of Work
sprinklers for SFR (55 sprinklers)
Extg Sq Ft New/Added Sq Ft �— Total Sq Ft ��_.,
New F—,, Add r" Alter F—. Demo
Floor
Suite No
F; 3. Owner's Name Last
First
#Units
F�
Use
Valuation $ 8,000 �..._
# Stories 13
Check Appropriate Box for Applicant/Notification
Information
F; 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
..... ........ .... _._.. I
City __. State F__ Zip
_. ....... ....... _... _.. _.
r_;, Telephoned—
r�_< 4. Architect/Designer's Name Last Vo
First Fjohn Lic. No.1777
Architect/Designer's Address
Architect/Designer's E-mail Address
526 N Shadydale Ave
fireguardss@gmail.com
city
West Covina State CA Zip
91790 Telephone(77114-310-0194
I ;
5. Engineer's Name Last
FirstLic. No.
F
Engineer's Address
Engineer's E-mail Address
City State �', Zip
Telephoned
X' 'rd Sprinkler S stems
r 6. Contractors Name Last Fireuap Y
9 ...
First Lic No.F992002 Class 16
I
Contractor's Address
Contractor's E-mail Address
7907 Leeds Street
fireguardss@gmail.com
City Downey State CA Zip 90242 Telephone 714-310-0194
OFFICE USE ONLY PERMIT NO. V'LON au`6
TYPE OF CONSTRUCTION PLAN CHECK NO. "`1A tv
OCCUPANCY- GROUP PLAN CHECK FEE $