HomeMy WebLinkAboutF2024-0210 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application g,
City of Newport Beach - Building Department
(- Fire Sprinkler r Fire Alarm i- Fire Misc
1. Project Address (Not mailing address)
4675 Macarthur Court, Newport Beach, CA 92660
Tenant Name Cody Nguyen / Genesis Bank Suite 1600
2. Description of Work
of new Method B intercom system / 7 Devices
Extg Sq Ft r New/Added Sq Ft
F- New r Add (x Alter I- Demo
Total Sq Ft 443
,neCK ,Appropriate box Tor Applicant/Notification Information
Floor Suite No
r-1600
# Units r
Use
Valuation $ 4,057
# Stories 16
r 3. Owner's Name Last
Frvine Company
First [_
Owner's Address
Owner's E-mail Address
111 Innovation Dr.
eng5@hcisystems.net
City Irvine
State CA
Zip 92617 Telephone (909 928-7773
rxF 4. Architect/Designer's Name
Last Santiago First Kevin Lic. No. 905493
Architect/Designer's Address
Architect/Designer's E-mail Address
1354 S. Parkside Pl.
ksantiago@hcisystems.net
City Ontario
State CA
Zip 91761 Telephone 909-957-5200
5. Engineer's Name Last
First F_ Lic No.
Engineer's Address
Engineer's E-mail Address
City
State �-
Zip F_ Telephoner—
6. Contractor's Name Last Gomez First Miriam Lic. No. 905493 Class c7c10c16
Contractor's Address
Contractor's E-mail Address
1354 S. Parkside PI.
eng5@hcisystems.net
City Ontario
State CP;'
Zip 91761 Telephone 909-957-5200
OFFICE USE ONLY
PERMIT NO. F O?q.(j7
TYPE OF CONSTRUCTION
PLAN CHECK NO. Pc Lo2�! O�J I
OCCUPANCY - GROUP
PLAN CHECK FEE $