HomeMy WebLinkAboutX2020-2734 - Permit ApplicationWorksheet for Fire Permit Application a �M'�Rm
E PflY t Form
City of Newport Beach - Building Division 102®- 27 31q
Please print 3 copies
Associated Building Permit # Fire Sprinkler F! Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
F
4000 MACARTHUR BLVD, WEST TOWER, NEWPORT BEACH, CA 92660 7TH
Tenant Name ROYAL PACIFIC FUNDING # Units F
Owner's Address
2. Description of Work
Owner's E-mail Address
PARTIAL FLOOR TENANT IMPROVEMENT TO INCLUDE: NEW PARTITION, ELECTRICAL,
Use B - OFFICE
MECHANICAL, AND FINISHES LOCATED ON THE 7TH FLOOR
Valuation $ 86,800 00
Extg Sq Ft F_ New/Added Sq Ft F Total Sq Ft 2,480 SF
Zip 92660 Telephone 949-313-2212
# Stories 10
New F-Addr Alter F-Demo
No.32528
Check Appropriate Box for Applicant/Notification
Xj 3. Owner's Name Last HIGUCHI
FirstAMY
Owner's Address
Owner's E-mail Address
4000 MACARTHUR BLVD, SUITE 110
City NEWPORT BEACH State
CA
Zip 92660 Telephone 949-313-2212
X 4. Architect/Designer's Name Last I KELLY
FirstLISA Lic.
No.32528
Architect/Designer's Address
Architect/Designees E-mail Address
17877 VON KARMAN AVENUE, SUITE 200
L. KELLY@INTERIORARCHITECTS.COM
City IRVINE State
CA
Zip 92614 ',,, Telephone 949-798-7300
F 5. Engineer's Name Last
First Lic.
No. F
Engineer's Address
Engineer's E-mail Address
City State
F
Zip F Telephone—
r 6. Contractor's Name Last First Lic. No. �—
Class
Contractors Address
Contractor's E-mail Address
City State
F—
Zip F_ Telephone[—
elephonedOFFICE
OFFICEUSE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $