HomeMy WebLinkAboutF2022-0013 - Permit ApplicationWorksheet for Fire Permit Application o�aEWP°aT
,rnt Form City of Newport Beach -Building Divisio
.ease print 3 copies �Ot2� ""I�
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Associated Building Permit # r Fire Sprinkler I_ Fire Alarm I_ Fire Misc
1. Project Address (Not mailing address) Floor (Suite No
1113 Kings Road, Newport Beach I
Tenant Name # Units F
2. Description of Work
NFPA 13D Fire Sprinkler System
Extg Sq Ft New/Added Sq Ft � Total Sq Ft 12.272
New f— Add I— Alter r— Demo
Check Appropriate Box for Appiicant/Notif!cation
F_ 3.Owner's Name Last First
Owner's Address Owner's E-mail Address
City I State Zip Telephone
Use
Valuation $ 22,458
# Stories F
Jx 4. Architect/Designer's Name Last Gutierrez First Rub- Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
`85 E. Crystal Dr. RubiG@resfire.com
naheim State CA Zip 92807 Telephone (714)666-8450
,er's Name LastFirst F Lic. No. F�
s Engineer's E-mail Address
State Zip Telephone
ast Residential Fire Systems First F Lic. No. 786965 Class C-16
Contractor's E-mail Address
engineering@resfire.com
State CA Zip 92807 Telephone (714)666-8450 o `� 13
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21.'i�- ;-0/1
b v i l OL1 " I
PERMIT NO. l s
PLAN CHECK NO.
PLAN CHECK FEE $ `�
X I,) I I I 3,30C