HomeMy WebLinkAboutF2023-0177 - Permit Application3c?,V 3gYj_l
Print Form
Please print 3 copies
Associated Building Permit #
f. Project Address (Noi
817 NEWPORT CENTER DR
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
address)
Tenant Name HYDE PARK JEWELERS
2. Description of Work
PROVIDE FIRE ALARM SYSTEM ADDITION
F Fire Sprinkler I— Fire Alarm r— Fire Misc
Extg Sq Ft F New/Added Sq Ft F_-Total S9 Ft
r— New F_ Add r Alter I— Demo
Check Appropriate Box for Applicant/Notification
i— 3.Owner's Name Last HYDE PARK JEWELERS First
Owners Address
817 NEWPORT CENTER DRIVE
City INEWPORT BEACH
f— 4. Arch itect/Designer's Name Last
Architect/Designer's Address
City
y13 I'pj
Use
Owner's E-mail Address
State CA Zip 92660 Telephone
First
Architect/Designer's E-mail Address
Floor Suite No
F_— 817
# Units F
Valuation $ 10,000.00
# Stories F
Lic. No.
State F_ Zip [_ TelephoneF-
5. Engineer's Name Last SEE TLEMOIR First MASON
Lic. No. 469046
Engineers Address Engineers E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH State CA Zip 90808 Telephone 562-353-4680
F 6. Contractor's Name Last INTERFACE SYSTEMS First �— Lic. No. 469046 Class C10
Contractor's Address Contractors E-mail Address
3750 SCHAUFELE AVE SUITE 200 kelle .santacruz y Y @intertaces s.com
City LONG BEACH State CA Zip 90808 Telephone 562-353-4680
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
PERMITNO. F_ Z/QF,5 0/-7.7
PLAN CHECK NO. /�iZDZS —OiZ4
PLAN CHECK FEE $