HomeMy WebLinkAboutF2023-0539 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application oF��
City of Newport Beach - Building Division '�
r- Fire Sprinkler FX Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1177 NEWPORT CENTER DR F_ 1177
Tenant Name Barrys @ Fashion Island # Units I
2. Description of Work
o provide a fire alarm system addition required by applicable codes Use
Extg Sq Ft F— New/Added Sq Ft F— Total Sq Ft
F New F_ Add r Alter r Demo
----'.-r�-r•••^-�• •��� ��. �+r+rn�.anurYVl111r70ilOn
Valuation $ 10,000.00
# Stories F
F_ 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
Cih'
State F—
Zip F TelephoneF_
F 4. ArchitecUDesigner's Name
Last First F— Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_
Zip F— TelephoneF—
I— 5. Engineer's Name Last
First
Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F— Telephone�—
IX 6. Contractor's Name Last INTERFACE SYSTEMS First �— Lic. No. 69046 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 Telephone562-{3--53-4680
OFFICE USE ONLY
PERMIT NO- IZ.7 - 0 5 3 /
TYPE OF CONSTRUCTION
PLAN CHECK NO. PCZoZ3 - 26Y6
OCCUPANCY - GROUP
PLAN CHECK FEE $