HomeMy WebLinkAboutF2022-0487 - Permit ApplicationWorksheet for Fire Permit Application
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- City of Newport Beach - Building Division
Please print 3 copies/ v
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Associated Building Permit # rC'Z0Zr _ 00 (X Fire Sprinkler Fire Alarm Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2411 Bayshore Drive
Tenant Name I # Units F -W
2. Description of Work
IT.I. in laundry room
Extg Sq Ft I New/Added Sq Ft Total Sq Ft
j` New j_ Add rX' Alter [— Demo
Check Appropriate Box for Applicant/Notification
Use
Valuation $ 2,475
# Stories F�
3. Owner's Name Last
First �.,
Owner's Address
Owner's E-mail Address
City
State
Zip Telephone
[X— 4. Architect/Designer's Name
Last Gutierrez
First Rubi Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
8685 E. Crystal Dr.
RubiG@resfire.com
City Anaheim
State CA
Zip 92807 Telephone (714)666-8450
F_ 5. Engineer's Name Last
I
First Lic. No.F
Engineer's Address
Engineer's E-mail Address
City I
State
Zip TelephoneY
IXX 6. Contractor's Name Last Residential Fire Systems
FirstF Lic. No. 786965 Class F-16
Contractor's Address
Contractor's E-mail Address
8085 E. Crystal Dr.
engineering@resfire.com
City Anaheim
State CA
Zip 92807 Telephone 1 (714)666-8450
OFFICE USE ONLY
PERMIT NO.ZPSI��
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY -GROUP
PLAN CHECK FEE $