HomeMy WebLinkAboutF2021-0257 - Permit ApplicationWorksheet for Fire Permit Application
. City ofNewport Beach ' Building Department
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Associated Building Pernoit# NZl~06l4 F7Fire Sprinkler FRFFire Alarm FlFire kAisc
1.Project Address (Not mailing address) Flour Suite No
2. Description of Work
TlONOFNEW VISUAL AND AUDIO-VISUAL APPLIANCES DUETOTENANT
�41ENT WORK. INSTALLATION OF NEW NAC3 REMOTE POWER SUPPLY TO SUPPORT
Extg8qFt New/Added 8qF1 Tn�|8qF1
�New F, Add �After F7, Demo
Check Appropriate Box for Applicant/Notification Information
#Unhs
Use 17ire Alarm
Valuation $i3'435 |
# Stories Flo
Owner's Address Owner's E-mail Address
City INIIEVVPOFlT8EACH State [CA !Zip|92080 | To|ephona|(949)313'2212 �
r?!-�. 4. Arch itectIDesiQnar'sName Last VALENZUELA First Lic.No.
Arohitnrt/Dooignu/oAdUmon Architect/Designers E-mail Address
City jOntario|Okatek�� |ZIP |n1781 | Telephone |
�6. Contractor's Name Last I HCI Systems Inc First LicNo. 9FO5493 Class
Contractor's Address Contractor's E-mail Address
1354 S. Parkside Pl.
City Ontario 8t8oFCA |Zipku1781 | Telephone !
OFFICE USE ONLY
PERMIT NO.
or
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
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PLAN CHECK NO.
PLAN CHECK FEE $