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Associated Building Permit #
Worksheet for Fire Permit Application `W'�"r
City of Newport Beach - Building Division V4
F_ Fire Sprinkler r Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
4675 MacArthur Court Newport Beach, California 92660 10 1000
Tenant Name TEKSYSTEMS # Units F
2. Description of Work
Use 17
Existing devices to be relocated, removed and reinstall �
d, and ne devi es added.
N�vv' 2ToA
13 r».v/cam
Extg Sq Ft 7,774 New/Added Sq Ft Total Sq Ft 7,774
Valuation $
# Stories 15
F_ New Add iX Alter ( Demo
Check Appropriate Box for Applicant/Notification
I nfnrm Minn
F_ 3. Owner's Name
Last
First F—
Owner's Address
Owner's E-mail Address
City
State
Zip Telephoned
F_ 4. Architect/Designer's
Name Last
First F__ Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
Zip F_ Telephone
r 5. Engineer's Name
Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F—
Zip F Telephoned
FX 6. Contractor's Name
Last Building Electronic Controls, FirstF Lic. No. 729905 Classr—
Contractor's Address
Contractor's E-mail Address
2246 Lindsay Way
design@becinc.net
City Glendora
State CA
Zip g1740 Telephone g0g-305-1600
OFFICE USE ONLY
PERMIT NO. won. 360
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $