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
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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
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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 $