HomeMy WebLinkAboutF2021-0256 - Permit ApplicationWorksheet for Fire Permit Application
Print Form' City of Newport Beach - Building Department
Please print 3 copies 01
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Associated Building Permit# ix 2021 1026 F—, Fire Sprinkler F_ Fire Alarm F7 Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1301 Dove Street, Newport Beach, CA 92660 910
Tenant Name SPEC SUIT 910 # UnitsF�
2. Description of Work
lInstallation of new Remote Booster power supply in the electrical room to support all new
Use Fire Alarm
visual and audio-visual appliances. Installation of new visual and audio-visual notification
Valuation $339
F
Extg Sq Ft F New/Added Sq Ft Total Sq Ft 1891
Stories 110
F—, New#
r7r, Add rx— Alter F—,, Demo
Check Appropriate Box for Applicant/Notification Information
tj - rfAT
Fx— 3. Owner's Name Last ITORRE First CARMAN_T
Owner's Address Owner's E-mail Address
1301 DOVE STREET, SUITE 550cat@mccarthycook.com
City NEWPORT EACH State CA Zip 92660 Telephone(949)252-8844
X 4. Arch itectiDesigner's Name Last Mayate First 7Joseph., Lic. No. 05493
1 � � F9
Architect/Designer's Address Architect/Designer's E-mail Address
1354 S. Parkside Pl. Fng3@hcisystems.net
city 1 Ontario - 11 I I I 11 State CA Zip 91761 Telephone l( 1 9 0 1 9 957-5200
F,7 5. Engineer's Name Last First Lic. No.
Engineer's Address Engineer's E-mail Address
.. . . . ..... .. ... . .. .... .. . . ...... .............. .. ... ..... ............. ... .. . ... .. ........... ... ..... .. ...
City State ZIP Telephone
r16. Contractors Name Last HCI Systems Inc FirstF Lic. No. 9075493 Class 7c10c16 F
Contractor's Address Contractor's E-mail Address
11 1 354 S. Parkside 6 PI lEng5@hcisystems.net
773 .4,�2
City (Ontario State A Zip F91761 TelePh(nel9O9-628-.7:�—�---j—ll�,
P 031
OFFICE USE ONLY PERMIT NO.
TYPE OF CONSTRUCTION 1 PLAN CHECK NO.
OCCUPANCY - GROUP PLAN CHECK FEE $