HomeMy WebLinkAboutF2021-0626 - Permit ApplicationWorksheet for Fire Permit Application
Q�int.Forrri; City of Newport Beach - Building Departme�®/
Please print 3 copies 1 /1 R4%
Associated Building Permit# �(l�7a • %�� r Fire Sprinkler r Fire Alarm Fire Misc
1. Project Address (Not mailing address) Floor Suite No
11 840 Newport Center Dr. Newport Beach, CA 92660 650
Tenant Name # Units
2. Description of Work Total,: 2 Devices
Installation of new visual and audio-visual notification appliance due to Tenant improvement.', Use
Valuation $ 901
Extg Sq Ft New/Added Sq Ft Total Sq Ft 2,144
F F
# Stories I7
� New �, Add �' Alter F–Demo
Check Appropriate Box for Applicant/Notification Information PkF1 �A rf
r
3. Owner's Name Last Merrill ; FirstCatelyn
Owner's Address Owner's E-mail Address
111 Innovation Dr.cmerrill@irvinecompany.com
City Irvine State CA Zip 92617 Telephone 949-720-4308
r, 4. ArchitectlDesigner's Name Last Brion First Jerome Lic. No.905493
Architect/Designer's Address Architect/Designer's E-mail Address
1354 S. Parkside PI. eng7@hcisystems.net
City Ontario State CA Zip 81761 Telephone (909) 628-7773
( 5. Engineer's Name Last First Lic. No.
Engineer's Address Engineer's E-mail Address
City r StateI — Zip F Telephoned
r, 6. Contractor's Name Last Feri First Paveerat Lic. No. 905493 Class F70006
. _
Contractor's Address Contractor's E-mail Address
1354 S. Parkside PI. Eng5@hcisystems.net
City Ontario State CAZip 91761 Telephone 909-628-7773
OFFICE USE ONLY PERMIT NO. f?,* I -
TYPE OF CONSTRUCTION PLAN CHECK NO. 2�I �14.2a2i
OCCUPANCY- GROUP PLAN CHECK FEE $
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