HomeMy WebLinkAboutF2019-0172 - Permit ApplicationPrint Form Worksheet for Fire Permit Application
Please print 3 copies
City of Newport Beach - Building Division
Associated Building Permit # �� -M F_ Fire Sprinkler FX_ Fire Alarm i— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
811 NEWPORT CENTER DRIVE NEWPORT BEACH, CA 92660 r 11
Tenant Name FASHION ISLAND LANDLORD DEV 811
2. Description of Work
MtMln ,ES FME ALARM SYSTEM
Use
# Units F
Extg Sq Ft New/Added Sq Ft F_Total Sq F[ F_Valuation $ 3,900.00
F New F_ Add F_ Alter r Demo #Stories F
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last KDC CONSTRUCTION First
Owner's Address
Owner's E-mail Address
1442 E LINCOLN AVE. #334
City ORANGE
State CA Zip 92865 Telephone714-632-6717
F 4. Architect/Designees Name
Last SMART First KAYLEEN Lic. No. 69046
Architect/Designer's Address
Architect/Designer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
KAYLEEN.SMART@INTERFACESYS.COM
City LONG BEACH
State CA Zip 90808 Telephone562-353-4680
F 5. Engineer's Name Last
First �— Lic No. F__
Engineer's Address
Engineer's E-mail Address
City
State F— Zip [_ Telephoned
I— 6. Contractor's Name Last INTERFACE SYSTEMS First F Lic. No. F69046 Class 10
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200
KELLEY.SANTACRUZ@INTERFACESYS.COM
City LONG BEACH
State CA Zip 90808 Telephone 562-353-4680
OFFICE USE ONLY
PERMIT NO. f?,v id[ ' DMZ
TYPE OF CONSTRUCTION
1p� O i PLAN CHECK NO. 0-1 lk1l ,201�1
OCCUPANCY- GROUP
L PLAN CHECK FEE $
000k N lei