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HomeMy WebLinkAboutF2021-0609 - Permit ApplicationPrint FoWorksheet for Fire Permit Application Please print 3 copies �owA+�" �`"�R>m rm � �: , � City of Newport Beach - Building Division z Associated Building Permit # �' �0?^ .Mn r Fire Sprinkler r— Fire Alarm r Fire Misc 1. Project Address (Not mailing address) 2425 Windward Lane, Newport _Beach Tenant Name I _. _ _... 1 �' 2' 2. Description of Work NFPA 13D Fire Sprinkler System Extg Sq Ft F—New/Added Sq Ft Total Sq Ft 4,711 r New r Add r— Alter r Demo 38 vy--ckas Check Appropriate Box for Applicant/Notification Floor Suite No # Units F Use Valuation $ 10,905 # Stories F r 3.Owner's Name Last y, 2� �1y� First—_ --' Owner's Address Owner's E-mail Address 5 �. City— State Zipr-- Telephoner— rX 4. Arch itect/Designer's Name Last Gutierrez First Rubi Lic.No.� Architect/Designer's Address Architect/Designer's E-mail Address 8085 E. Crystal Dr. RubiG@resfire.com City Anaheim State CA Zip 92807 Telephone (714)666-8450 r 5. Engineer's Name Last � FirstF_ Lic No. Engineers Address Engineer's E-mail Address City r-- State r-- Zip F_ Telephoned r 6. Contractor's Name Last Residential Fire Systems First F — Lic. No. 786965... Class F16 Contractor's Address Contractor's E-mail Address 8085 E. Crystal Dr. engineering@resfire.com City Anaheim State CA Zip 92807 Telephone (714)666-8450 OFFICE USE ONLY PERMIT NO. ✓ nq� r� TYPE OF CONSTRUCTION PLAN CHECK NO. " f OCCUPANCY - GROUP PLAN CHECK FEE $ D 2�