HomeMy WebLinkAboutF2020-0066 - Permit ApplicationPrint Form _
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Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
612 Goldenrod Avenue, Corona Del Mar, CA 92625
Tenant Name 1
2. Description of Work
[—x Fire Sprinkler F_ Fire Alarm F_ Fire Misc
a 3-stories RESIDENTIAL fire sprinkler system as per 2016 NFPA 13D - (43) heads.
Extg Sci Ft N/A New/Added Sci Ft 3,306 Total Sci Ft 3,306
(X New F_ Add F_ Alter r Demo
Check Appropriate Box for Applicant/Notification
u
Floor Suite No
# Units �—
Use Duplex
Valuation $ 5,400.00
# Stories
jx 3. Owner's Name
Last Youssef Land Eight, LLC First F
Owner's Address
Owner's E-mail Address
612 Goldenrod Avenue
City Corona Del Mar
State CA Zip 92625 Telephone (714) 951-4077
r 4. Arch itectlDesigner's Name Last F_ First F Lic. No. (
Architect/Designer's Address
Architect/Designer's E-mail Address
city
State Zip Telephone—
r 5. Engineer's Name
Last Vu First Anthony Lic. No. 1038755
Engineer's Address
Engineer's E-mail Address
9559 Nightingale Ave
ifireprotectiondesign@gmail.com
City Fountain Valley
State CA Zip 92806 Telephone (714) 234-9633
r 6. Contractor's Name
Last Nguyen First Vincent Lic. No. 1038755 Class C16
Contractor's Address
Contractor's E-mail Address
9182 Alwick Circle
ifireprotectionsales@gmail.com
City Garden Grove
State CA Zip 92841 Telephone (714) 231-5108
OFFICE USE ONLY 7 hPERMIT NO.
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TYPE OF CONSTRUCTION
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PLAN CHECK NO.
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OCCUPANCY -GROUP
uIX 1$24 PLAN CHECK FEE $
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