HomeMy WebLinkAboutF2019-0353 - Permit ApplicationPrint Form �
Please print 3 copies
Associated Building Permit #
1. Project Address
380 BISON AVE.
DI 7
Worksheet for Fire Permit Application (54
City of Newport Beach -Building DivisionfLolei.o553
Fire Sprinkler iX Fire Alarm Fire Misc
Tenant Name ITHE BLUFFS SHOPPING CENTER 3
2. Description of Work
vc,�
Extg Sq Ft F New/Added Sq Ft F
F_ New r— Add r Alter F_ Demo
5
Check Appropriate Box for Applicant/Notification
A -�)
Total Sq Ft
Floor Suite No
Use
Valuation $ 8,000
# Stories F
r 3. Owner's Name Last IRVINE CO. RETAIL PROP First F —
Owner's Address
Owner's E-mail Address
PO BOX 2460
City NEWPORT BEACH State CA Zi 92658
P Telephone
F 4. Architect/Designer's Name Last SMARTFirst KAYLEEN
Lic. No. 69046
Architect/Designer's Address Architect/Designer's E-mail Address
3750 SCHAUFELE AVE KAYLEEN.SMART@INTERFACESYS.COM_
City LONG BEACH State CA Zip 90808 Telephone 562-353-4680
I— 5. Engineer's Name Last I First �— '
Lic. No. F
Engineer's Address
Engineer's E-mail Address
City State F—Zip F_ Telephone
F 6. Contractor's Name Last INTERFACE SYSTEMS First
Contractor's Address
Lic. No. 69046 Class C10
Contractor's E-mail Address
750 SCHAUFELE AVE KELLEY.SANTACRUZ@INTERFACESYS.—COM
City LONG BEACH State CA Z11 90808 Telephone562-353-4680
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO.
PLAN CHECK NO. 19
PLAN CHECK FEE $