HomeMy WebLinkAboutF2021-0344 - Permit ApplicationWorksheet for Fire Permit Application
Print Form ± City of Newport Beach - Building Department
Please print 3 copies
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Associated Building Permit# ri Fire Sprinkler rFire Alarm Fire Misc
1. Project Address (Not mailing address) Floor Suite No
0 Newport Center Drive, Newport Beach, CA 92660 First F_70
Tenant Name Pacific Life Newport Beach WT 2.0 - 1ST FLOOR #Units
2. Description of Work Total : 76 Devices (REV.01)
Removal and reinstallation of existing visual and audio-visual appliances. Installation of new
Use Fire Alarm
control relay modules.
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Valuation $ 4,792
Extg Sq Ft— New/Added Sq Ft Total Sq Ft 39,328
# Stories I5
r New ( Add Alter r Demo
Check Appropriate Box for Applicant/Notification Information
r 3. Owner's Name Last Balfour First Sarah
i
Owner's Address Owner's E-mail Address
700 Newport Center Drive
City Newport Beach State CA Zip 92660 Telephone (949)219-7445
r 4. Arch itect/Designer's Name Last Mayate First Joseph Lic. No. 905493
Architect/Designer's Address Architect/Designer's E-mail Address
1354 S. Parkside PI. eng3@hcisystems.net
City Ontario State CA Zip91761 Telephone 909-284-9241
5. Engineer's Name Last FirstLic. No.
Engineer's Address Engineer's E-mail Address
City State Zip Telephoned
ri 6. Contractor's Name Last Sripipat First Sarintip Lic. No. 905493„ Class c7c10c16
Contractor's Address Contractor's E-mail Address
1354 S. Parkside PI. Eng5@hcisystems.net
Cit Ontario State CA Zi 91761 Telephone 909-628-7773
City .. .._ .__ F p P
OFFICE USE ONLY PERMIT NO. F2021-0344 (REV.01)
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP PLAN CHECK FEE $