HomeMy WebLinkAboutF2023-0113 - Permit ApplicationWorksheet for Fire Permit Application
Print Form , e
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit #
- f- Z , 161 3 Cf r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
690NEWPORTCENTER FT
Tenant Name THE PENDRY SOCIAL CLUB # Units F
2. Description of Work
Use �—
Fire Alarm T/I , 64 NEW DEVICES.
Valuation $ 40,225.00
Extg Sq Ft F— New/Added Sq Ft � Total Sq Ft
i— New (S Add r Alter r Demo
# Stories
n l
C�
Check Appropriate Box for Applicant/Notification
I nfnrm �4inn
F- 3.Owner's Name Last
FirstF
Owner's Address
Owner's E-mail Address
City
State F—
Zip F Telephoned
F-" 4. Architect/Designer's Name
Last ESPINOZA
First STEVEN Lic.No. F
Architect/Designers Address
Architect/Designers E-mail Address
2705 MEDIA CENTER DRIVE
STEVENSPINOZA@ADT.COM
City LOS ANGELES
State CA
Zip 90065 Telephone 323-276-3123
r 5. Engineer's Name Last I
First Lic. No.
Engineer's Address
Engineers E-mail Address
City
State F—
Zip F_— Telephoned
r 6. Contractor's Name Last ADT COMMERCIAL
First F Lic No. 1065604 Class C10 - C16
Contractor's Address
Contractors E-mail Address
210 W. BAYWOOD AVE.
SEYEDAHRAR ADT.COM
City Orange
State CA
Zip 92765 Telephone 714 685-8133
OFFICE USE ONLY
PERMIT NO. G ZtYL3 O
P(-7i(AiJ�j b`♦ S
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
�� n z ��[� / PLAN CHECK FEE $