HomeMy WebLinkAboutF2021-0384 - Permit Application� Iorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # — r Fire Sprinkler I— Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
726 Bison Avenue, Newport Beach, CA 92660
# Units
Tenant Name
2. Description of Work
Use SFR
Design/build a 1-stories RESIDENTIALfire sprinklersystem as per 2019 NFPA 13D-(27) heads.
Valuation $ 4,400.00
Extg Sq Ft 3,178 New/Added Sq Ft 656 Total Sq Ft 3,834
# Stories
Fx New r Add r Alter I—Demo
I
Check Appropriate Box for Applicant/Notification
jX 3. Owner's Name
Last Cid First Michele & Manny
Owner's Address
Owner's E-mail Address
726 Bison Avenue
City Newport Beach
State CA Zip 92660 Telephone (562) 666-7174
j- 4. Architect/Designer's Name Last First F— Lic. No.
F
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
City
State I Zip [_ Telephone
jX 5. Engineer's Name
Last Vu First Anthony Lic No.
1038755
Engineer's Address
Engineer's E-mail Address
9559 Nightingale Ave
ifireprotectionsales@gmail.com
City Fountain Valley
State CA Zip 928 Telephone (714) 231-5108 70
r 6. Contractor's Name
Last Vu First Anthony Lic No. 1038755 Class F6
Contractor's Address
Contractor's E-mail Address
9559 Nightingale Ave
ifireprotectionsales@gmail.com
City Fountain Valley
State CA Zip 92708 Telephone (714) 231-5108
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
O
OCCUPANCY- GROUP
PLAN CHECK FEE $