HomeMy WebLinkAboutX2021-1230 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailin
Worksheet for Fire Permit Application SM
City of Newport Beach - Building Division
x2n21-i2a,
r Fire Sprinkler r Fire Alarm r Fire Misc
1227 Portside Way, Corona Del Mar, CA 92625
Tenant Name
2. Description of Work
build a 1-story RESIDENTIAL fire sprinkler system as per 2019 NFPA 13D - (28) heads.
Extg Sq Ft F— New/Added Sq Ft 3,299 Total Sq Ft 3,299
r New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notif!cation
Floor Suite No
# Units
Use SFR
Valuation $ 4,800.00
# Stories
r 3.Owner's Name Last Murray First Keith & Mara
Owner's Address -
Owner's E-mail Address
1227 Portside Way
City Corona Del Mar
State CA
Zip 625 Telephone (949) 278-1327 92
r 4. Arch itect/Designer's Name Last
First F— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City �
State �—
Zip F_ TelephoneF�
iX S. Engineer's Name Last Vu
First Anthony Lic. No. 1038755
Engineer's Address
Engineer's E-mail Address
9559 Nightingale Ave
ifireprotectiondesign@gmail.com
City Fountain Valley
State CA
Zip 92708 Telephone (714) 234-9633
r 5. Contractor's Name Last Vu First Anthony Lic. No. 1038755 Class C16
Contractor's Address
Contractor's E-mail Address
9559 Nightingale Ave
ifireprotectiondesign@gmail.com
City Fountain Valley
State CAA
Zip 92708 Telephone (714) 234-9633
OFFICE USE ONLY
TYPE OF CONSTRUCTION
v� ✓ v
PLAN CHECK NO.
OCCUPANCY -GROUP
I� 'LA til
/,Z 3 j PLAN CHECK FEE $