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HomeMy WebLinkAboutF2023-0106 - Permit ApplicationWorksheet for Fire Permit Application Prmt'Foim City of Newport Beach -Building Department4t^�„� Please print 3 copies Associated Building Permit # X2022 0400 Fire Sprinkler �'. Fire Alarm Fire Misc 1. Project Address (Not mailing address) Floor Suite No CA �— 510 100 Bayview Circle, Newport Beach, 92660 _ Granite Properties #Units F Tenant Name 2. Description of Work Use Installation of new visual and audio-visual notification applainces -- Valuation $ 1,166.25;. Extg Sq Ft F New/Added Sq Ft r•- Total Sq Ft 2,065 �---- # Stories I6 �' New r Add FT, Alter r Demo Check Appropriate Box for Applicant/Notification Information r 3. Owner's Name Last Kato First Alex Owner's Address Owner's E-mail Address 3002 Dow Ave, Suite 102 Aketo@esplanadebuilders.com City Tustin State CA Zip 92780 Telephone 949-556-4930 rx— 4. Architect/Designer's Name Last .Ramirez , , First Gary - Lic. No. 905493 Architect/Designer's Address Architect/Designer's E-mail Address 9354 S. Par kside PI. eng5@hcisystems.net City Ontario 11 State CA Zip 91761 Telephone 909-957-5200 r 5. Engineer's Name Last First FW ---; Lic No. Engineer's Address Engineer's E-mail Address City __. State F Zip F— Telephoned F76. Contractor's Name Last _Miriam First Gomez Lic. No. 905493 _ Class c7c10cl6 Contractor's Address Contractor's E-mail Address 1354 S. Park side PI. Eng5@hcisystems.net City Ontario State CA Zip 91761 Telephone 909-957-5200 OFFICE USE ONLY PERMIT NO. W G UK TYPE OF CONSTRUCTION PLAN CHECK NO. 14�102'3 OCCUPANCY- GROUPh'`U ,�(�V PLAN CHECK FEE $