HomeMy WebLinkAboutF2023-0216 - Permit ApplicationWorksheet for Fire Permit Application
Print Form _' City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit#
XC2022-2102 j— Fire Sprinkler r Fire Alarm J— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
100 Bayview Circle, Newport Beach, CA 92660 F_ 2610
Tenant Name Spec Suite 2610 # Units
2. Description of Work
—
Use F
Installation of new visual and audio-visual notification appliances
Valuation $ I U 7J Z
1
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft 2,750
/
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# Stories I6
r New F— Add (x Alter (` Demo
Check Appropriate Box for Applicant/Notification Information
r 3.Owner's Name Last Edwards First Jeannie
Owner's Address
Owner's E-mail Address
100 Bayview Circle Suite 270
jedwards@graniteprop.com
City Newport Beach
State CA Zip 92660 Telephone (909)628-7773
r 4. Architect/Designer's Name Last
Ramirez First Gary Lic. No. 905493
Architect/Designees Address
Architect/Designer's E-mail Address
1354 S. Parkside PI.
eng5@hcisystems.net
City Ontario
State CA Zip 91761 Telephone 909-957-5200
r 5. Engineer's Name Last �—
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State I Zip F TelephoneF
r 6. Contractor's Name Last Gomez First Finam Lic. No. 905493 Class c7c10c16
Contractor's Address
Contractors E-mail Address
1354 S. Parkside PI.
Eng5@hcisystems.net
City Ontario
State CA Zip 91761 Telephone 909-957-5200
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. �L Z� ���✓
OCCUPANCY - GROUP
PLAN CHECK FEE $