HomeMy WebLinkAboutF2019-0283 - Permit ApplicationPrint Form
Please print 3 copies
Associateu 601cling Permit#
1. Pr.:,;ect Address (Not mailing
�t 423 PoinS�+ii�t ��
Tenant Name F�
2. Description of Work
NFPA 13D Fire Sprinkler System
Worksheet for Fire Permit Applicatior.
City of Newport Beach - Building Division
rX Fire Sprinkler f— Fire Alar.. f Fire Misr
Extg Sq Ft r-_---- New/Added Sq Ft F Total Sq Ft F,
r New r Add F_ Alter r Demo -2,q heodzi
Floor
I
Suite No
# Units
F
Use
Valuation $
# Stories
3.Owner's Name Last
VJV&L , aFirstF—
�KT1'�^�
ner's Address
[City
Owner's E-mail Address
r YV W � VL
i
State �— Zip GG' ��I Telephocol —
1
rX 4. Architect/Designer's Name
Last Gutierrez First Rubi Lic. No. �—
Architbut/Designer's Address
Architect/Designer's E-mail address
8085 E. Crystal Dr.
RubiG@resfire.com
City IAnr ieim
State CA Zip 92807 Telephone t ,4)666-8450
(� 5. Engineer's Name Last F—
FirstF�
Lic
No.
Engineer'„ Address
Engineers E-mail Address
City r—
State F— Zip �— Telephone—
r 6. Contractor's Name Last I Residential Fire Systems First— Lic. No. 786965 Class C-16
Contractor's Address
Contractor's E-mail Address
8085 E. Crystal Dr.
lengineering@resfire.com
9 g@resfire.com
City !Anaheim
State CA Zip 92807 Telephone (714)666-8450
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. I D111"Wicl
OCCUPANCY- GROUP
-j���
V �1 � �� PLAN CHECK FEE $
XU Vg - Iq tom,/