HomeMy WebLinkAboutX2021-0737 - Permit Application�Pnnt,if
Please print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach -Building Department U5
.0 90_1�
Fire Sprinkler F)!-�, Fire Alarm 17- Fire Misc
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1. Project Address (Not mailing address) Floor Suite No
700 Newport Center Drive, Newport Beach, CA 92660 Fourth—':
Tenant Name I Pacific Life Newport Beach WT 2.0 4TH FLOOR # UnitsF
-
2. Description of Work Total: 100 DeviceSii
City Newport Beach
Removal and reinstallation of existing visual and audio-visual appliances. Installation of new
Use Fire Alarm
smoke detector, and controI relay modules.
Architect/Designer's E-mail Address
1354 S. Parkside Pl.
Valuation $ F6305
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft 68,070
State FcT_ Zip 91761 Telephone 909-284-9241
F7 5. Engineer's Name Last
# Stories 5
F
r- New F7 Add F;�-� Alter F-, Demo
Engineer's E-mail Address
Check Appropriate Box for Applicant/Notification Information
Fx—,r 3. Owner's Name Last Balfour First Sarah
Owner's Address
Owner's E-mail Address
700 Newport Center Drive
City Newport Beach
State949)219-7445 A Zip [92�60 Telephone
Fc F(
4. Architect/Desi gner's Name Last Ma ate First Foseph Lic. No. 790549T7
Architect/Designer's Address
Architect/Designer's E-mail Address
1354 S. Parkside Pl.
eFng3@hcisystems.net
City Ontario
State FcT_ Zip 91761 Telephone 909-284-9241
F7 5. Engineer's Name Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F__ Zip F—, Telephoned
Fx- 6. Contractor's Name Last S I ripip I at First Farintip Lic. No. 9705493 Class [c7c10c16
Contractor's Address
Contractor's E-mail Address
1354 S. Parkside PI
Eng5@hcisystems.net
City I Ontario 11
State [CA Zip F917611 TelephoneF9O9-628-7773
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $