HomeMy WebLinkAboutF2022-0361 - Permit ApplicationPrint Fornn � �m�
- We�ficaiion
City of Newport Beach - Building Division i=
Please print 3 copies (�//`�C]' �;"��
� Z F' � `V � Oft
Associated Building Permit # FX_ Fire Sprinkler f—. Fire Alarm [7 Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1615 Lincoln Lane
Tenant Name # Units
2. Description of Work
.-...w.. �...�_ •---• Fire sprinklers for new SFR (37 heads) Use
Valuation $ [8,000
Extg Sq Ft New/Added Sq Ft Total Sq Ft - -
/New F Add Alter Demo # Stories
IF
Gheck Appropriate Box for Applicant/Notification
-v 3. Owner's Name Last.
First
Owner's Address
Owner's E-mail Address
City State
Zip Telephone
4. Architect/Designer's Name Last Vo
First John Lic. No.
Architect/Designer's Address
526 N Shadydale Ave
Arch itect/Designer's E-mail Address
fire ireg—uardss@gmail.com
g _ @gmail.com
City West Covina State CA
Zip 91790 Telephone 714-310-0194
5. Engineer's Name Last
First Lic No.
111.11, . ............. ... .
j Engineer's Address _
Engineer's E-mail Address
City State F
............ ...... _ ....... ............
Zip- Telephoner
sX6. Contractor's Name Last Fireguard Sprinkler Systems
First Lic. No. 992002 Class 16
Contractor's Address
7907 Leeds Street
Contractor's E-mail Address
fireguardss@gmail.com
City Downey State �A
Zip 90242 Telephone 714-310-0194
OFFICE USE ONLY
PERMIT NO
TYPE" OF CONSTRUCTION
PLAN CHECK NO�7601
OCCUPANCY - GROUP
—�
PLAN CHECK FEE $ —� -