HomeMy WebLinkAboutF2020-0411 - Permit ApplicationWorksheet for Fire Kermit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # (X'... Fire Sprinkler r Fire Alarm
1. Project Address (Not mailing address)
1611 Kings Road
Tenant Name
2. Description of Work
Fire sprinklers for remodel (65 sprinklers)
Extg Sq Ft New/Added Sq Ft Total Sq Ft
i— New F-` Add F—, Alter [7 Demo
t,necK Hppropnare MOO Tor Hppticantnvouncation
3. Owner's Name Last F.s First r
F Fire Misc
Floor Suite No
q Units F
Use
Valuation $ 101000.,,
# Stories
Gild
Owner's Address Owner's E-mail Address
City -- .,,,,.. State i� .Zip �' Telephone
F �.
rX, 4. Architect/Designer's Name Last Vo i First John Lic. No. )
Architect/Designer's Address Architect/Designers E-mail Address
r526 N Shadydale Ave fireguardss@gmail.com
City West Covina State CA m� Zip 91790 Telephoner714-310 0194
rX,, 6. Contractor's Name Last Fireguard_ Spnnkler Systems First Lic No. 992002 Class 16
Contractor's Address Contractor's E-mail Address
7907 Leeds Street fireguardss@gmail.com
City Downey i� State CA Zip 90242 Telephone 714-31p-0194
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT 1 Lkj
PLAN CHECEC K NO. �
PLAN CHECK FEE $
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