HomeMy WebLinkAboutF2019-0427 - Permit ApplicationWorksheet for Fire Permit Application o4 `'°"a
Print Form 1618'.2 _�®6`q City of Newport Beach - Building Division F,ZO®9-Oy2 ] ° \I
Please print 3 copies
Associated Building Permit # i— Fire Sprinkler F/Fire Alarm f— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
563
563 NEWPORT CENTER DRIVE I
EURO OPTIX / EUROCOLLECTIVE # Units F-
Tenant Name
2. Description of Work
State CA Zip 90680 Telephone714-554-0131
Use
FIRE ALARM SYSTEM 15
Architect/Designer's Address
_ e
Valuation^ $ 6,000.00 j
Extg Sq Ft New/Added Sq Ft Total Sq Ft
F F
/� \
City LONG BEACH
#Stories
j— New r Add r Alter I— Demo
'
S 1
1 _ ('_� l1
Check Appropriate Box for Applicant/Notif!cation
F_ 3. Owner's Name Last RENEW ENTERPRISES First
Owner's Address
Owner's E-mail Address
130 ELECTRIC AVE
City STANTON
State CA Zip 90680 Telephone714-554-0131
F_ 4. Architect/Designer's Name
Last SMART First KAYLEEN Lic. No. 69046
Architect/Designer's Address
Architect/Designer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
KAYLEEN.SMART@INTERFACESYS.COM
City LONG BEACH
State CA Zip 90808 Telephone 562-353-4680
F_ 5. Engineer's Name Last
First Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State F___ Zip F_ Telephone
F-6. Contractor's Name Last INTERFACE SYSTEMS First Lic. No. 69046 Class C10
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200
KELLEY.SANTACRUZ@INTERFACESYS.COM
City LONG BEACH
State CA Zip 90808 Telephone562-353-4680
OFFICE USE ONLY
PERMIT NO. FZ ��� ,011Z7
TYPE OF CONSTRUCTION _>/
L -CA ✓I _ Gq 4 PLAN CHECK NO. � �'�Z Lu 1
OCCUPANCY- GROUP
PLAN CHECK FEE $