HomeMy WebLinkAboutF2022-0009 - Permit ApplicationNam... SKr
Worksheet for Fire Permit Application o� e
Form i Prnt
_ City of Newport Beach -Building Department
- .
Please print 3 copies
Associated Building Permit # Fire Sprinkler jX" Fire Alarm Fire Misc
1. Project Address (Not mailing address)
20320 SOUTHWEST BIRCH ST. NEWPORT BEACH, CA 92660
Tenant Name
2. Description of Work 127 Devices
Removal of exiting Honeywell 5800-C sprinkler monitoring panel and installation of new
addressable smoke and duct smoke detectors, control relay modules, new visual notification.
Extg Sq Ft F
New/Added Sq Ft Total Sq Ft 34750
F New F— Add r Alter I— Demo
Check AnnroDriate Box for Applicant/Notification Information
Floor Suite No
F F_
# Units F
Use
Valuation $ "I
# Stories
(— 3. Owner's Name Last F
First I
Owner's Address
Owner's E-mail Address
City
State F
Zip I Telephone
fX 4. Architect/Designer's Name
Last Mayate
First Joseph Lic. No. 905493
Architect/Designer's Address
Architect/Designer's E-mail Address
1354 S. Parkside PI.
eng3@hcisystems.net
City Ontario
State CA
Zip 91761 Telephone 909-6287773
r" 5. Engineer's Name Last
First _. _Lic. No.
_
Engineer's Address
Engineer's E-mail Address
F____�
- --- ------ --- ---- ----
City
11-7
State F_
Zip Telephone
Contractor's Name Last Systems Inc
First Lic. No. 905493 _ Class c7c10c16
6. HCI
Contractor's Address
Contractor's E-mail Address
�1354 S. Parkside PI.
Eng5@hcisystems.net
City Ontario
__._.
State CA
Zip 91761 Telephone 909-957-5200
Q ' PERMIT NO. fW24--0009
OFFICE USE ONLY
TYPE OF CONSTRUCTION
1 , I D PLAN CHECK NO.
IV
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OCCUPANCY - GROUP
v
PLAN CHECK FEE $