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HomeMy WebLinkAboutF2021-0140 - Permit ApplicationPrint Form Please print 3 copies Associated Building Permit # worl(sneei Tor fire t'ermll< Appncailon FZ62 1 " o City of Newport Beach - Building Division la a "mG%No _ � n F_ Fire Sprinkler r Fire Alarm F_ Fire Misc 1. Project Address (Not mailing address) 1083A, 10838,1083C Newport Center Drive Tenant Name Fashion Island Suite 1083 2. Description of Work Premises Fire Alarm System Extg Sq Ft F— New/Added Sq Ft F Total Sq Ft FX— New r Add r Alter j— Demo Check Appropriate Box for Applicant/Notification Floor Suite No 1083 # Units �— Use Valuation $ 10,200.00 # Stories FX_ 3. Owner's Name Last BOGART CONSTRUCTION First F Owner's Address Owner's E-mail Address 9980 IRVINE CENTER DR. SUITE 200 City IRVINE State CA Zip 92618 Telephone F949-453-1400 FX_4. Architect/Designer's Name Last PETTY First PAUL Lic. No. 69046 Architect/Designer's Address Architect/Designees E-mail Address 3750 SCHAUFELE AVE. SUITE 200 City LONG BEACH State CA Zip 90808 Telephone562-353-4680 F_ 5. Engineer's Name Last I First 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. 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 a(•oCiAy0t3Stbl y OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. ®1>01 - W v4 OCCUPANCY- GROUP PLAN CHECK FEE $