HomeMy WebLinkAboutF2022-0275 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
KPinnacle Point
Tenant Name
2. Description of Work
New 13D Fire Sprinkler System / 27 SPRINKLER HEADS
U%�
Q Fire Sprinkler r— Fire Alarm ju Fire Misc
Extg Sq Ft F New/Added Sq Ft 1,872 Total Sq Ft (-V
P Z New r Add r Alter r— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
Use
Valuation $ ,867.00
# Stories 12
r— 3. Owner's Name Last F
First r_
Owner's Address
Owner's E-mail Address
City
State
Zip F— Telephoner��
r 4. Architect/Designer's Name Last
First Lic. No.
Architect/Designer's Address
Architect/Designer''ssE-mail Address
City I
State ��
Zip F --s-._ Telephone
I— 5. Engineer's Name Last �—
First F_r Lic. No. F__
Engineer's Address
Engineer's E-mail Address
City
State f _
Zip F Telephoned
R 6. Contractor's Name Last era j j� f t T First Bulmaro Lic No. 1030049 Class -16
Contractor's Address
Contractor's E-mail Address
18050 Sequoia St.
1
iefireprotection@gmail.com
City Hesperia
State Ca.
Zip 92345 Telephonej909-205-9821
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
o q PLAN CHECK FEE $