Loading...
HomeMy WebLinkAboutF2023-0267 - Permit ApplicationWorksheet for Fire Permit Application (Fdi494Rr? City of Newport Beach - Building Department Please print 3 copies �V%&q: xczpz. —60gA Associated Building Permit # Z' — r Fire Sprinkler x Fire Alarm i— Fire Misc 1. Project Address (Not mailing address) Floor Suite No Pacific Life Tenant Name iPacific Life 2. Description of Work the plans, installation of new visual and audio-visual notification appliances marked as "N" the Dlans. Extg Sq Ft 1 ` New/Added Sq Ft F Total Sq Ft 5071 r— New j— Add x Alter I` Demo Check Appropriate Box for Applicant/Notification Information # Units Use Valuation $ 7127 # Stories I5 r 3. Owner`s Name Last Balfour First iSarah Owner's Address Owner's E-mail Address 700 Newport Beach eng5@hcisystems.net City Newport Beach State `CA Zip 92660 Talephonel949-219-7445 Fx 4. Architect/Designer's Name Last (Ramirez First Gary Lic, No. 905493 Architect/Designer's Address ArchitectIDesigner's E-mail Address 1354 S. Parkside PI. ieng5@hcisystems.net City Ontario State CA Zip 191761 J Telephone 909-957-5200 F-" 5, Engineer's Name Last v First I — Lic No. Engineer's Address Engineer's E-mail Address ) City I State i u Zip Telephoner IT 6. Contractor's Name Last Gomez First (Miriam Lic. No. 905493 Class�c7c10c16 Contractor's Address Contractor's E-mail Address 1354 S. Parkside PI. JEng5@hcisystems.net City !Ontario State 1CA Zip i91761 Telephone .90 957-5200 OFFICE USE ONLY PERMIT NO. f WO OZ6 7 TYPE OF CONSTRUCTION _ PLAN CHECK NO. K_ W13-13�`I OCCUPANCY - GROUP PLAN CHECK FEE $