HomeMy WebLinkAboutF2023-0219 - Permit ApplicationWorksheet for Fire Permit Application
Print For City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit # XC2022-2127 r Fire Sprinkler r Fire Alarm F- Fire Misc
1. Project Address (Not mailing address)
100 Bayview Circle, Newport Beach, CA 92660
Tenant Name Spec Suite 4400
2. Description of Work
nstallation of new visual and audio-visual notification applainces
Extg Sq Ft F New/Added Sq Ft r Total Sq Ft 1,964
F- New F- Add Fx- Alter r Demo
Check Appropriate Box for Applicant/Notification Information
Floor Suite No
4400
# Units F
Use
Valuation$ F1,
# Stories I6
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
(X 4. Architect/Designer's Name Last Ramirez First Gary Lic. No. 905493
ArchitectlDesigner's Address
Architect/Designer's E-mail Address
1354 S. Parkside PI. _
eng5@hcisystems.net
City Ontario State
CA
Zip 91761 Telephone 909-957-5200
F- 5. Engineer's Name Last r
First F Lic. No. F
Engineer's Address
Engineer's E-mail Address
City F_ _— State
�—
Zip �— Telephone[ —
FT 6. Contractor's Name Last Gomez
First Fullriam Lic. No. 905493 Class c7cl0c]6
Contractors Address
Contractor's 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.
CCUPANCY - GROUP
PLAN CHECK FEE $