HomeMy WebLinkAboutF2022-0166 - Permit ApplicationPrint Form
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Associated Building Permit #
Worksheet for Fire Permit Appoc '��' o�EWao�@
City of Newport Beach -Building Division 3
F_ Fire Sprinkler r Fire Alarm r Fire Misc Y
1. Project Address (Not mailing address) S
Floor
Suite No
1055 NEWPORT CENTER DR.
F
1055
Tenant Name TRAVIS MATHEW AND TRAVIS MARTIN
# Units
F_ 4. Architect/Designer's
Name Last First �— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
2. Description of Work
State 7— Zip F_ Telephoner—
elephonerf—
f—5. Engineer's Name
PROTECTED PREMISES FIRE ALARM SYSTEM
Use
Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
Valuation $
11,000.00
Extg Sq Ft F-- New/Added Sq Ft F_— Total Sq Ft 7—
Last INTERFACE SYSTEMS First 7 Lic. No. 69046 Class C10
Contractor's Address
Contractor's E-mail Address
# Stories F
F_ New F_ Add � Alter F_ Demo
State CA Zip 90808 Telephone562-353-4680
OFFICE USE ONLY
Check Appropriate Box for Applicant/Notification
3. Owner's Name
Last IRVINE COMPANY First
Owner's Address
Owner's E-mail Address
110 Innovation Drive
City IRVINE
State CA Zip 92617 Telephone
F_ 4. Architect/Designer's
Name Last First �— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State 7— Zip F_ Telephoner—
elephonerf—
f—5. Engineer's Name
Last SETTLEMOIR First MASON Lic. No. 469046
Engineer's Address
Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH
State CA Zip 90808 Telephone 562-353-4680
F-6. Contractor's Name
Last INTERFACE SYSTEMS First 7 Lic. No. 69046 Class C10
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. f-122� olb10
X77
V �� os+t , Un-
yYOCCUPANCY-
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY-GROUP
12, 0 PLAN CHECK FEE $