HomeMy WebLinkAboutF2021-0347 - Permit Application0
Worksheet for Fire Permit Application
rinfFogn;i .; City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit# F— Fire Sprinkler r Fire Alarm F7 Fire Misc
1. Project Address (Not mailing address) Floor Suite No
700 Newport Center Drive Newport Beach, CA 92660 Fourth F
Tenant Name Pacific Life Newport Beach WT 2.0 - 4TH FLOOR # Units
2. Description of Work Total 100 Devices (REV.01)
Use [Fire Alarm
Removal and reinstallation of existing visual and audio-visual appliances. Installation of new
smoke detector, and control relay modules.
Extg Sq Ft New/Added Sq FtF Total Sq Ft 68,070
Valuation $ 6,305
# Stories 5
F
r—,. New F— Add r>—� Alter F7 Demo
Check Appropriate Box for Applicant/Notification Information
F>—cl 3. Owner's Name Last Balfour j First Sarah
Owner's Address Owner's E-mail Address
700 Newport Center Driv a
cityF ewpoBeach State [CA Zip [92660 Telephone 90)219-741
4. Architect/Designees Name Last [lVayate First
Joseph Lic. No. F9
Architect/Designer's Address Architect/Designer's E-mail Address
1354 S. Parkside Pl. i eng3@hcisystems.net
City jOntario State FCA Zip F91 761 Telephone F09-284-9241
F7 5. Engineer's Name Last First Lic. No.
Engineer's Address Engineer's E-mail Address
. .. . ..... . .....
City
State Zip Telephone
F F
Fx—, 6. Contractor's Name Last Sripipat First sarintip Lic. No. 905493 Class c7c10c16
Contractor's Address Contractor's E-mail Address
1354 S. Parkside Pl. Eng5@hcisystems.net
City Ontario State FCA Zip F91 761 Telephone 909-628-7773
OFFICE USE ONLY PERMIT No. F2021-0347 (REV.01)
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP PLAN CHECK FEE $