HomeMy WebLinkAboutF2023-0367 - Permit ApplicationPrint Form
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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Fire Sprinkler Fire Alarm — Fire Misc
t. Project Address (Not mailing address)
43 NEWPORT CENTER DRIVE
NO je01cc,,
Tenant Name LENS CRAFTERS
2. Description of Work
TO PROVIDE A FIRE ALARM SYSTEM ADDITION AS REQUIRED BY APPLICABLE CODES
Extg Sq Ft New/Added Sq Ft Total Sq Ft
New Add R Alter Demo
+����••/'� Vv.vV. ULc L7UA rvi MPlJncant/IVotlncatlon
Floor Suite No
0 843
#Units j
Use
Valuation $ 12,000.00
# Stories
UP
3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City State
Zip Telephone
4. Architect/Designer's Name Last
First F_ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
city �m —f State
Zip'. Telephone
5. Engineer's Name Last ISETTLEMOIR
First !MASON _
Lic. No. 469046
Engineer's Address
Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH State CA
Zip 90808 Telephone
'.X 6. Contractor's Name Last INTERFACE SYSTEMS
First Lic. No. 469046 Class Ct 0
Contractor's Address
Contractors E-mail Address
3750 SCHAUFELE AVE SUITE 200
CityLONG BEACH ��
State CA
— --
Zip �90808 Telephonei562-353-4680
OFFICE USE ONLY
PERMIT NO. 411-
TYPE OF CONSTRUCTION _
PLAN CHECK NO. 9
OCCUPANCY - GROUP
PLAN CHECK FEE $