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HomeMy WebLinkAboutX2021-0736 - Permit ApplicationWorksheet for Fire Permit Application F ririf Form ' City of Newport Beach - Building Department Please print 3 copies Associated Building Permit # WLJ 6 U I— Fire Sprinkler Fx—.I Fire Alarm �b Fire Misc 1. Project Address (Not mailing address) Floor Suite No 700 Newport Center Drive, Newport Beach, CA 92660 Third — Tenant Name Pacific Life Newport Beach WT 2.0 - 3RD FLOOR # Units 2. Description of Work Total : 87 Devices 700 Newport Center Drive Use Fire Alarm Removal and reinstallation of existing visual and audio-visual appliances. Installation of new control relay modules. Name Last Mayate First Joseph Lic. No. 905493 — — Valuation $ 5,485 Extg Sq Ft (— New/Added Sq Ft Total Sq Ft 53,940 eng3@hcisystems.net City Ontario # Stories I III F7 New r Add r; Alter f— Demo Last FirstLic. No. Check Appropriate Box for Applicant/Notification Information r; 3. Owner's Name Last Balfour I First FSarah Owner's Address Owner's E-mail Address 700 Newport Center Drive City Newport Beach State CA Zip 92660 Telephone (949)219-7445 rj 4. Architect/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 Zip 91761 Telephone 909-284-9241 FI 5. Engineer's Name Last FirstLic. No. Engineer's Address Engineer's E-mail Address City State F Zip F7777 Telephoned x 6. Contractor's Name r Last Sri i at First SarintiLic. No. 905493 Class c7c10c16 ppp _' Contractor's Address Contractor's E-mail Address 1354 S. Parkside 11 PI. Eng5@hcisystems.net City Ontario State CA Zip 91761 Telephone 909-628-7773 OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. 1 1-0-024 OCCUPANCY - GROUP PLAN CHECK FEE $