HomeMy WebLinkAboutF2021-0388 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
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Please print 3 copies
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Associated Building Permit # Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
SUITE 1083B NEWPORT CENTER DRIVE
1083B
Tenant Name LUCID MOTORS I ®�
# Units
F
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State 7— Zip F_ Telephoned
5. Engineer's Name Last RENKEN First JONATHAN Lic. No. 469046
Engineer's Address
2. Description of Work
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH
PROTECTED PREMISES FIRE ALARM SYSTEM
Use
Contractor's Address
Extg Sq Ft F— New/Added Sq Ft F Total Sq Ft
Valuation $ 7000.00
KELLEY.SANTACRUZ@INTERFACESYS.COM
# Stories
State CA Zip 90808 Telephone562-353-4680
New i— Add
� r Alter � Demo
PERMIT NO. —MiT
�" 21
TYPE OF CONSTRUCTION
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last DICKINSON CAMERON First
Owner's Address
Owner's E-mail Address
6180 INNOVATION WAY
City CARLSBAD
State CA Zip 92009 Telephone—
F_ 4. Arch itect/Designer's Name Last
First Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State 7— Zip F_ Telephoned
5. Engineer's Name Last RENKEN First JONATHAN Lic. No. 469046
Engineer's Address
Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH
State CA Zip 90808 Telephone562-353-4680
F6. Contractor's Name Last INTERFACE SYSTEMS First Lic. No. 69046 Class C-10
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. —MiT
�" 21
TYPE OF CONSTRUCTION
p/ PLAN CHECK NOy
OCCUPANCY- GROUP
PLAN CHECK FEE $