HomeMy WebLinkAboutF2022-0209 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit # Fire Sprinkler I—X, Fire Alarm
r7l Fire Misc
1. Project Address (Not mailing address) Floor Suite No
20401- - - Southwest - Birch St., Newport, Beach Bldg. A, - CA 92 - 660
Tenant Name Ferrado I Bayview C/O CBRE LLC # Units - � I 1—-, 111111 11 F
2. Description of Work
Replace existing sprinkler monitoring system, install new fire alarm communicator, replace
existing audible -visual notification appliance
Extg Sq Ft 1,914 Now/Added Sq Ft F Total Sq Ft F
F7 New -j Add F_ X-, Alter 7 Demo F F
Check Appropriate Box for Applicant/Notification Information
Use
Valuation $ 1,609
# Stories
3. Owner's Name
Last Osburn
c
First Traci
Owners Address
Owner's E-mail Address
400 MacArthur Blvd Suite
350
City [Newport Beach
State CA
. . . ... .. ... . ... ........ . ..... ...... . .. .. ............ . . ......... . ... .... .
zip 92660 Talephonei(949)955-2131
FJF` 4. Architect/Designer's
Name Last Valenzuela I
First Faezar Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
1354 S. Parkside P1.
City jOntaric,
State CA
Zip 91761 Telephone 909-957-5200 1
5. Engineer's Name
Last
First Lic. No.
Engineers Address
Engineers E-mail Address
City
State
... ... ... .. ... .. ... .............
ZIP Telephone
r7,6. Contractor's Name
Last Williams First Dominique Lic. No. FZ_ Class Fc7c10c16
Contractor's Address
Contractor's E-mail Address
1354 S. Parkside Pl.
Eng5@hcisystems.net
City 1Ontario
State CA
zip [9176TelephoneF66-957-5200
OFFICE USE ONLY PERMIT NO. �gl- 0 02,71
TYPE OF CONSTRUCTION PLAN CHECK NO. I
OCCUPANCY- GROUP PLAN CHECK FEE $