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HomeMy WebLinkAboutF2018-0477 - Permit ApplicationF2 K- OqT Worksheet for Fire Permit pplication Print Form City of Newport Beach - Building Division Please print 3 copies Associated Building Permit# I— Fire Sprinkler fX Fire Alarm r Fire Misc 1. Project Address (Not mailing address) Last CBRE First F_ Floor Suite No 3501 Jamboree Road 3501 JAMBOREE RD I_ — 200b Tenant Name Fitness Center State CA Zip 92660 Telephone 949-823-9330 # Units F 2. Description of Work Architect/Designer's Address ArchitecttDesigner's E-mail Address fire alarm Tenant improvement, install fire life safety devices State F_ Zip F Telephoner Use Last TRAN First KIM Lic. No.952133 / Valuation $ 8750.00 Extg Sq Ft 2120 New/Added Sq Ft I r��./vICPS Total Sq Ft _ F_ New r Add r Alter (K' Demo F 6. Contractor's Name # StoriesC6 Check Appropriate Box for Applicant/Notification Infnrmn#inn r 3. Owner's Name Last CBRE First F_ Owner's Address Owner's E-mail Address 3501 JAMBOREE RD City NEWPORT BEACH State CA Zip 92660 Telephone 949-823-9330 r— 4. Architect/Designees Name Last First F_ Lic. No. F Architect/Designer's Address ArchitecttDesigner's E-mail Address City State F_ Zip F Telephoner F 5. Engineer's Name Last TRAN First KIM Lic. No.952133 Engineer's Address Engineer's E-mail Address 510 W CENTRAL AVE #E KTRAN@ORRPROTECTION.COM City BREA State CA Zip 92821 Telephone 949-679-0055 F 6. Contractor's Name Last ORR PROTECTION First F Lic No. 952133 Class Fc,0 C16 Contractor's Address Contractor's E-mail Address 510 W CENTRAL AVE #E RGABBOUR@ORRPROTECTION.COM City BREA State CA Zip 92821 Telephone 949-679-0055 OFFICE USE ONLY PERMIT NO. C Llb — Oc-f 7 � TYPE OF CONSTRUCTION PLAN CHECK NO. �D C PANCY - GROUP PLAN CHECK FEE $