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HomeMy WebLinkAboutF2021-0309 - Permit Application1. Print Form Please print 3 copies Associated Building Permit # rD2 i -G EW� Worksheet for Fire Permit Application of Rm� City of Newport Beach - Building Division o`�3� 4 YpnN,P J -LOZl C) (– Fire Sprinkler rX Fire Alarm r Fire Misc 1. Project Address (Not mailing address) Floor Suite No 313 NEWPORT CENTER DRIVE (y sj 303. Owner's E-mail Address Tenant Name MADISON REED # Units 2. Description of Work Use 2 PROTECTED PREMISES FIRE ALARM SYSTEM F— 4. Arch itect/Designer's Name Last Valuation $ 10,000.00 Extg Sq Ft F_New/Added Sq Ft F Total Sq Ft Architect/Designer's E-mail Address City State F_ # Stories F_ New r Add r Alter r Demo LI -1J --S?� Check Appropriate Box for Applicant/Notification Infnrm�flnn 3. Owner's Name Last HARDESTY & ASSOC. INC First F— Owner's Address Owner's E-mail Address 711 W 17TH ST UNIT D 2 City COSTA MESA State CA Zip 92627 Telephone F— 4. Arch itect/Designer's Name Last First F_ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F_ Zip F— Telephoned F 5. Engineer's Name Last SMART First KAYLEEN Lic. No. 469046 Engineer's Address „ Engineer's E-mail Address 3750 SCHAUFELE AVE SUITE 200 City LONG BEACH State CA Zip 90808 Telephone 562-353-4680 F-6. Contractor's Name Last INTERFACE SYSTEMS First Lic. No. 69046 Class C10 Contractor's Address Contractor's E-mail Address 3715D SG+I-^� /iv6. Stu It U0 City LONG BEACH State 90808 Zip CA Telephone562-353-4680 OFFICE USE ONLY PERMIT NO. TYPE CONSTRUCTION OF PLAN CHECK NO. OCCUPANCY - GROUP PLAN CHECK FEE $