HomeMy WebLinkAboutF2022-0640 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
)lease print 3 copies �_ A z_z_0U q 0
Associated Building Permit # FX_ Fire Sprinkler F_ Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address)
906 AVOCADO AVENUE, NEWPORT BEACH, CA
Tenant Name ALCHEMY 43
2. Description of Work
THIS T.I. INVOLVES ADDITION & RELOCATION OF EXISTING FIRESPRINKLER DROPS FOR NEW
WALLS/ROOM CONFIGURATIONS
Extg Sq Ft I New/Added Sq Ft Total Sq Ft F_
F- New r Add F- Alter I- Demo
Check Appropriate Box for Applicant/Notification
Use
U S
c9CIFapN�P
Floor Suite No
# Units F
Valuation $ F,950.00
# Stories F
F_ 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State F- Zip I Telephone
r 4. Arch itect/Designer's Name
Last f LOPEZ First PAUL Lic. No. 1069002
Architect/Designer's Address
Architect/Designer's E-mail Address
1601 W ORANGEWOOD AVE
PLOPEZ@ADFIRESPRINKLERS.COM
City ORANGE
State CA Zip 92868 Telephone 714-634-3923
F- 5. Engineer's Name Last
First Lic. No. ----
Engineer's Address
Engineer's E-mail Address
City �---_-
State r Zip �--,_ Telephoned
F 6. Contractor's Name Last
First Lic. No. 1069002 Class C-16
Contractor's Address
Contractor's E-mail Address
1601 W ORANGEWOOD AVE
PLOPEZ@ADFIRESPRINKLERS.COM
City ORANGE
State CA Zip 92868 Telephone 714-634-3923
OFFICE USE ONLY
PERMIT NO.
CHECK Pr1022- 31TL
TYPE OF CONSTRUCTION
PLAN NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $