HomeMy WebLinkAboutF2022-0043 - Permit ApplicationPrint Form
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Associated Building Permit#
Worksheet for Fire Permit Application o�EW��
City of Newport Beach - Building Division g
F1021-00495.�;.oa..�
F_ Fire Sprinkler fX_ Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
1125 NEWPORT CENTER DRIVE
Tenant Name 1ALLBIRDS
2. Description of work Fashion Island 1125
FIRE ALARM SYSTEM ADDITION Aliblyds
initiating - 22
notification - 8
Extg Sq Ft New/Added Sq Ft I Total Sq Ft
F_ New F Add Fx- Alter F- Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units F
Use I. _..._..
Valuation $ 4000.00
# Stories F
F_ 3. Owner's Name
Last MANAGEMENT RESOURCE SYS First
Owner's Address
Owner's E-mail Address
1907 BAKER ROAD
City HIGH POINT
State NC
Zip 27263 Telephone
F_ 4. Architect/Designer's
Name Last
First Lic. No. �—
Architect/Designer's Address
Architect/Designees E-mail Address
City _..
State F_
Zip F— Telephoned
r 5. Engineer's Name
Last Settlemoir
First Mason Lic. No. F69046
Engineer's Address
Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH
State CA
Zip 90808 Telephone562-353-4680
F_ 6. Contractor's Name
Last INTERFACE SYSTEMS First Lic. No. 69046 Class C70
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. ` 2brz_o6N 3
2022-0140
TYPE OF CONSTRUCTION z0lb jor' t
PLAN CHECK NO. 02,(6 -'Z o 2'L
OCCUPANCY - GROUP
`"1011',303L( PLAN CHECK FEE $ 572.rUo