HomeMy WebLinkAboutF2021-0396 - Permit Applicationit Form Worksheet for Fire Permit Application (941AWFIE
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit
(— Fire Sprinkler IX Fire Alarm r Fire Misc
1�
1. Project Address (Not mailing address) [ Flo r Suite No
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20402 Newport Coast Drive h b1 _ x _ < G
Tenant Name Sage Hill School A RVA 6 COl l /1 # Units �-
2. Description of Work
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Replacing the fire alarm system head end equipment. N(1/A'�t
Use
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Extg Sq Ft 21,051 New/Added Sq Ft I" Total Sq Ft 21,051
Valuation $ 42,053
# Stories
r New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
1— 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City I State
F_
Zip F Telephonedr
4. Architect/Designer's Name Last
First 7— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
F___
Zip F— Telephoned
r 5. Engineer's Name Last
First Lic.No.�
Engineer's Address
Engineer's E-mail Address
City State
F_
Zip F_ Telephoned
r 6. Contractor's Name Last National Fail -Safe First Lic. No. 329699 Class C-10
Contractor's Address
Contractor's E-mail Address
6442Industry Way
jesse@nf-s.com
City Westminster State
CAS
Zip 92683 Telephone (714) 895-4543
OFFICE USE ONLY W I I
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'it
PERMIT NO. 11
TYPE OF CONSTRUCTION
PLAN CHECK Nn 06� V
OCCUPANCY - GROUP
PLAN CHECK FEE $ Ila I—