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HomeMy WebLinkAboutF2022-0098 - Permit ApplicationWorksheet for Fire Permit Application Print Form City of Newport Beach - Building Division Please print 3 copies Associated Building Permit # F 1. Project Address (Not mailing address) 3723 Park Green Dr., Corona Del Mar, CA 92625 Tenant Name 2. Description of Work Fire Sprinkler j— Fire Alarm j— Fire Misc Design build a new 2-story overhead RESIDENTIALfire sprinkler system 2019 NFPA 13D - (40) sprinkler heads. Extg Sq Ft F— New/Added Sq Ft 4,385 Total Sq Ft 4,385 1< New j— Add F- Alter r Demo Check Appropriate Box for Applicant/Notification 4 ta" Hl Ui C9<iFOPP�P Floor Suite No # Units �— Use SFR Valuation $ 6,600.00 # Stories I FX_ 3. Owner's Name Last Hostetler First Frank & Camille Owner's Address Owner's E-mail Address 3723 Park Green Drive City Corona Del Mar State CA Zip 92625 Telephone (949) 887-8440 F_ 4. Arch itectlDesigner's Name Last First I— Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip F_ Telephoned 5. Engineer's Name Last Vu First Anthony Lic. No. 1038755 Engineer's Address Engineer's E-mail Address 1621 W. Sumac Lane ifireprotectiondesign@gmail.com City Anaheim State CA Zip 92802 Telephone (714) 234-9633 jz 6. Contractor's Name Last Nguyen First Vincent Lic. No. 1084661 Class C16 Contractor's Address Contractor's E-mail Address 9182 Alwick Circle )cfireprotectiongroup@gmail.com City Garden Grove State CA Zip 92841 Telephone (714) 231-5108 OFFICE USE ONLY ��d`ur ©� PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP `��� �`Z PLAN CHECK FEE $