HomeMy WebLinkAboutF2021-0345 - Permit ApplicationWorksheet for Fire Permit Application
`Pnrit��orm;;' City of Newport Beach - Building Department
Please print 3 copies
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Associated Building Permit # I Fire Sprinkler F)!—�, Fire Alarm F. Fire Misc
1. Project Address (Not mailing address) Floor Suite No
700 Newport Center Drive, Newport Beach, CA 92660 Second F—
Tenant Name Pacific Life Newport Beach WT 2.0 - 2ND FLOOR #Units �!,
2. Description of Work Total : 54 Devices (REV.01)
Use Fire Alarm
Removal and reinstallation of existing visual and audio-visual appliances. Installation of new
control relay modules.
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Valuation $ 3,405
Extg Sq FtNew/Added Sq Ft Total Sq Ft 42,362
#Stories 5
F—,, New r Add IK, Alter I^ Demo
Check Appropriate Box for Applicant/Notification Information
3. Owner's Name Last Balfour j First Sarah
Owner's Address Owner's E-mail Address
700 Newport Center Drive
Cit
Newport Beach State CA Zi 92660 Tele hone 219-7445
y p p P (949 )
ri 4. Architect/Designer's Name Last Mayate First Joseph Lic. No. 905493
Architect/Designer's Address Architect/Designees E-mail Address
1354 S. Parkside P 11 I. eng3@hcisystems.net
Cit Ontario State CA zip91761 Telephone 909-284-9241
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FI 5. Engineer's Name Last First Lic. No.
Engineer's Address Engineer's E-mail Address
City State r—_----- Zip Telephoned
FX7 6. Contractor's Name Last Sripipat First Fsarintip Lic. No. 905493 Class0c10c76
Contractor's Address Contractor's E-mail Address
1354 S. Parkside PI. Eng5@hcisystems.net
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City O 11 ntarioo State CA Zip 91761 Telephone909-628-7773_
OFFICE USE ONLY PERMIT No. F2021-0345 (REV.01),'i
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY - GROUP PLAN CHECK FEE $