HomeMy WebLinkAboutF2019-0180 - Permit ApplicationI IMI
;Print Form Worksheet for Fire Permit Application rioT-
Please print 3 copies
o f `' D City of Newport Beach - Building Division
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Associated Building Permit# F_ Fire Sprinkler FX_ Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address)
815 NEWPORT CENTER DRIVE NEWPORT BEACH, CA92660
Tenant Name FASHION ISLAND LANDLORD DEV 815
2. Descriotion of Work
FREMISES FIRE ALARM SYSTEM
Extg Sq Ft �— New/Added Sq Ft �— Total Sq Ft
F_ New F_ Add F_ Alter F Demo
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FloorSuite No
F_ 8815 '
# Units
Use
Valuation $ 3,900.00
# Stories F
3. Owner's Name Last KDC CONSTRUCTION First �—
Owner's Address
Owner's E-mail Address
1442 E LINCOLN AVE. #334
City ORANGE
State CA Zip 92865 Telephone 714-632-6717
F 4. Architect/Designer's Name
Last SMART First KAYLEEN Lic. No. 469046
Architect/Designer's Address
Architect/Designer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
KAYLEEN.SMART@INTERFACESYS.COM
city LONG BEACH
State CA Zip 90808 Telephone 562-353 4680
F 5. Engineer's Name Last
First F_ Lic. No. �—
Engineer's Address
Engineer's E-mail Address
Cab
State �— Zip F_ Telephone—
r 6. Contractor's Name Last INTERFACE SYSTEMS First Lic. No. 69046 Class C10
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200
KELLEY.SANTACRUZ@INTERFACESYS.COM
city LONG BEACH
State CA Zip 90808 Telephone562-353-4680
OFFICE USE ONLY
PERMIT NO. _7%011.0160
TYPE OF CONSTRUCTION
PLAN CHECK NO. �' $� • �I°i
OCCUPANCY- GROUP
-11//d1 G1 0156 PLAN CHECK FEE $