HomeMy WebLinkAboutF2021-0206 - Permit ApplicationFllbZt -a7-c>
Worksheet for Fire Permit Application (F,&,
�EW�amCity of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit# IX, Fire Sprinkler r'FireAlarm rFireMisc
1. Project Address (Not mailing address) Floor Suite No
1437 Dolphin Terrace
Tenant Name '.I
2. Description of Work
sprinklers for new SFR (66 sprinklers)
Extg Sq Ft j New/Added Sq Ft r ___ Total Sq Ft
r i New r? Add F— Alter r Demo
Check Appropriate Box for Applicant/Notification
r`; 3. Owner's Name Last
rOwner's Address
First F
Owner's E-mail Address
# Units r
VY
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Valuation$ 9,000
# Stories
City s� �'.. State �Zip Telephone
rx—,'' 4. Architect/Designer's Name Last Vo First John Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
526 N Shadydale Ave fireguards@gmaiLcom
City West Covina State CA Zip 91790 - Telephone 7143100194
......... ....... � 1. F __-
F_, 5. Engineer's Name
Last _._ _....
Engineer's Address
City State f Zip
rX 6. Contractor's Name Last Fireguard Sprinkler Systems First7-7 Lic No. 992002 Class FF
Contractor's Address Contractor's E-mail Address
7907 Leeds Street fireguardss@gmail.com
City
Downey
State CA Zip 90242 j
Telephone
7143100194
OFFICE USE ONLY
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PERMIT NO.
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TYPE OF CONSTRUCTION
PLAN CHECK NO.
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- V PLAN CHECK FEE $