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HomeMy WebLinkAboutF2023-0237 - Permit ApplicationWorksheet for Fire Permit Application M1( Print Form City of Newport Beach - Building Division Please print 3 copies Associated Building Permit # 1. Project Address (Not mailing address) 401 NEWPORT CENTER DRIVE Tenant Name ARHAUS Fire Sprinkler ',x nre nielill , „_,.,... Floor Suite No �— 224 # Units 2. Description of Work — _.._..—.----- Use TO PROVIDE A FIRE ALARM SYSTEM ADDITION FOR FASHION ISLAND SUITE A22 �s -- Valuation$ 25,000 _ _-__. ----- New/Added Sol Ft --- Extg Sq Ft � Total Sol Ft # Stories New Add X Alter — Demo Check Appropriate Box for Applicanvlvonrlcanon First ''X 3. Owner's Name Last IGraycor Owner's Address Owner's E-mail Address Two Mid America Plaza Suite 400 City Oakbrook Terrace State ',IL Zip 160181 Telephonel Lic. No. Il. — 4. ArchitecUDesigner's Name Last First Architect/Designer's Address _ Architect/Designees E-mail Address _ City State Zip Telephone .R 5. Engineer's Name Last Settlemoir First iMason Lic. No. 469046 Engineer's Address Engineer's E-mail Address 3750 Schaufele Ave. Suite 200 City Long Beach State 'CA Zip 90808 Telephone 6. Contractor's Name Last Interface Systems First Lic. No. 469046 Class C10 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 PERMIT NO. FANS — o Z37 USE ONLY rr-y�. Zl C` [OFFICE TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY - GROUP PLAN CHECK FEE $