HomeMy WebLinkAboutX2021-0734 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit # r Fire Sprinkler �Fire Alarm
r7- Fire isc
1. Project Address (Not mailing address) Floor Suite No
1700 Newport I Center - Drive, 11 Newport I Beach, I CA 92660 First F
Tenant Name I Pacific Life Newport Beach WT 2.0 - 1 ST FLOOR # Units F
2. Description of Work Total : 76 Devices
Use Fire Alarm
Removal and reinstallation of existing visual and audio-visual appliances. Installation of new
control relay modules.
Extg Sq Ft New/Added Sq Ft Total Sq Ft 39,328
Valuation $ F4792
# Stories F5_
F- New F, Add F>-�, Alter F7. Demo
Check Appropriate Box for Applicant/Notification Information
------ ---------
FK-, 3. Owner's Name Last Balfour First Farah
Owner's Address Owner's E-mail Address
700 Newport Center Drive
City Newport Beach State CA
Zip [92660 Telephone F(949)219-7445
F>�- 4. Architect/Designer's Name Last JIMayate FirstFo seph Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
1354 S. Parkside PI. leng3@hcisystems.net
City JOntario StateA Zip FV61 Telephone 9 F09-284-9241
Fc
Fx-r 6. Contractor's Name Last Sripipat First arintip Lic. No. 05493 Class c7c10c16
1 I Fs F9 F
Contractor's Address Contractor's E-mail Address
1 354 S. Parkside Pl. Eng5@hcisystems.net
City JOntario State FCA Zip F91 761 TelephoneF9O9-628-7773
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $