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HomeMy WebLinkAboutF2022-0577 - Permit ApplicationWorirstteet for Fire Permit Application Print Form City of Newport Beach -Building Division Please print 3 copies �N Associated Building Permit # _ O Fire Sprinkler i— Fire Alarm h_. Fire Misc 1. Project Address (Not mailing address) Floor Suite 1,40 i 1227 Marian Lane-----`- 1 Tenant Name -� - # Units l 2. Description of Work _ Fire sprinklers for new SFR (47 heads)-- - - - Use Vr3 C, Valuation $ S,000 Extg Sq Ft NewlAdoed Sq Ft dotal Sq Fi _ # Stories u ! F_ New Add F_ Alter Demo ? Check Appropriate Box for A,,,aphca,,WNotifiwation Information F_ 3. Owner's Name Last First Owner's Address Owner's E-mail Address i City F State Zip Telephone(��� l r 4. Architect/Designer's Name Last f --� First - Lic. No. - - s Architect/Designer's Address 3 Architect/Designer's E-mail AddressIF- City State Zip ._..-__ Telephone, 5. Engineer's Name Last,VO � ' 9 First i.iohn I 3 Lic. No. i `r t Engineer's Address Engineer's E-mail Aadrass 1526 N Shadydale Ave - --- -- - -�- Hireguards64,�gmail corn --_ --- - City West Covina Stata I :A zip 191790 Talephonel714-310-0194 X 6. Contractor's Name Last IFi,,eguard Sprinkler Systems First - -A R Lic. No. (992002 Class I1 5 Contractor's Address f Contractor's E-9 l Address 7907 Leeds Street [heguarciss@bgmai!.com I City Downey Smie _ Telephones 714-310-0194 --------------------- OFFICE USE ONLY ------ PERMIT NO F2�Lf�I�7-/ S7 �C1 TYPE OF CONSTRUCTION _ PLAN CHECK NO. 1 OCCUPANCY - GROUP —.—_ PLAN CHECK FEE $ - DI