HomeMy WebLinkAboutX2020-1161 - Permit ApplicationWorkeheet for Fire Permit Application (11
i Print Form City of Newport Beacn -Building Division
print 3 copies
Associated Building Permit# Fire Sprinkler FW Fire Alarm j— Fire Misc
1. Project Address (Not mailing
i134 Goldenrod Ave
Tenant Name I
2. Description of Work
ire sprinklers for new MFR (44 heads)
Extg Sq Ft F New/Added Sq Ft —� Total Sq Ft
F-_ New F_ Add F- Alter ;— Demo
Check Appropriate Box for AppliciantlNotification
Floor Suite No
It Units
Use
Valuation $ F500
r
# Stories
t
i-
I ` 3.Owner's Name Last I
Fust
Owner's Address
Ow•srs E-;mad Address
City �
State '_� -- zip I - Telephone i
R 4. ArchitectiDesigner's Name Last i [John John Lic. No. (�
o First
Architect/Designer's Address
Architect/Designers E-mail Address
1526 N Shadydale Ave
fireguardss@gmail.com
city West Covina
State CA Zip 191790 — Telephone 714-310-0194
I. - 5. Engineer's Name Last
First Lic No. A
Engineer's Address
Engineer's E-mail Address
i
City I
State Zip-.—._____._..,, Telephonel
6. Contractor's Name Last FFireguard Sprinkler Systems First F Lic No. 992002 Class F6
Contractors Address
�7907 Leeds Street
_ Contractor's E-mail Address
fireguardss@ymail.com
City Downey
State (CA Zip 90242 — Telephone 714-310-0194
I
OFFICE USE ONLY
n y d PERMIT NO.p
TYPE OF CONSTRUCTION
V PLAN CHECK NO.� N'
I OCCUPANCY - GROUP —
n 'U PLAN CHECK FEE $