HomeMy WebLinkAboutF2023-0426 - Permit ApplicationWorksheet for Fire Permit Application
Print Form 203
-- - City of Newport Beach -Building Division] �� � ✓ ;,
Please print 3 copies �
Associated Building Permit#
r Fire Sprinkler 1- Fire Alarm j- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
322 Iris Avenue, Corona Del Mar F— F
Tenant Name # Units
2. Description of Work
Use
Design and Installation of Fire Sprinkler System per NFPA 13D
Valuation $ 8,632
Extg Sq Ft F New/Added Sq Ft Total Sq Ft 3,298.53
# Stories
r New r Add i- Alter r Demo
Check Appropriate Box for Applicant/Notification
Infnrmn inn
r 3.Owner's Name Last
Firstr
Owner's Address
Owner's E-mail Address
City �--
State F
Zip F_ Telephoned
r 4. ArchitecUDesigner'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
First F— Lic. No. r
Engineer's Address
Engineer's E-mail Address
City
State F—_-_`--
Zip TelephoneFa
r 6. Contractors Name Last Residential Fire Systems
First F — Lic. No. 786965 Class C-16
Contractors 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. ��-41/�I •
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1VVL � �
TYPE OF CONSTRUCTION
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PLAN CHECK NO I
OCCUPANCY - GROUP
NV r 1
PLAN CHECK FEE $