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HomeMy WebLinkAboutF2021-0344 - Permit ApplicationWorksheet for Fire Permit Application Print Form ± City of Newport Beach - Building Department Please print 3 copies �21 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. -- 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 $