HomeMy WebLinkAboutF2019-0088 - Permit Application�__20�q
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Associated Building Permit #
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Worksheet for Fire Permit Application �`W�Qm
City of Newport Beach -Building Division ` �' (—
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_0 I�S r Fire Sprinkler VFire Alarm F_ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
J4194 -NEWPORT CENTER DRIVE 133
Tenant Name BACIO DE LATTE - SUITE 133 # Units �-
2. Description of Work
Use
FIRE ALARM SYSTEM T.I. /
State CA Zip 92780 Telephone714-834-0911
r 4. Architect/Designer's Name
Extg Sq Ft F New/Added Sq Ft F__. Total Sq Ft F_
Valuation $ 5,000.00
-
Architect/Designees E-mail Address
# Stories
r New F_ Add r Alter F_ Demo
City LONG BEACH
Check Appropriate Box for Applicant/Notification
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3. Owner's Name Last PACIFIC CONTRACTING GROUP FirstI.
Owner's Address
Owner's E-mail Address
15431 RED HILL AVE SUITE F
City ITUSTIN
State CA Zip 92780 Telephone714-834-0911
r 4. Architect/Designer's Name
Last SMART First KAYLEEN Lic. No. F69046
Architect/Designer's Address
Architect/Designees E-mail Address
750 SCHAUFELE AVE. STE 200
KAYLEEN.SMART@INTERFACESYS.COM
City LONG BEACH
State CA Zip 90808 Telephone 314-595-0252
F_ 5. Engineer's Name Last
First 7 Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_, Zip F_ Telephoned;
r-6. Contractor's Name Last INTERFACE SYSTEMS First Lic. No. F69046 Class C10
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE. STE 200
KELLEY.SANTACRUZ@INTERFACESYS.COM
City LONG BEACH
State CA Zip 90808 Telephone 562-353-4680
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
�e — ��� PLAN CHECK FEE $