HomeMy WebLinkAboutF2019-0179 - Permit Application1
Worksheet for Fire Permit Application o4?EWA'°
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City of Newport Beach -Building Department o
Please print 3 copies �wFUc^''
Associated Building Permit # ,�,90905R E r Fire Sprinkler F- Fire Alarm r-, Fire Misc
1. Project Address (Not mailing address) Floor Suite No
Fist F_
700 Newport Center Dr.. Newport Beach CA 92660
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Tenant Name Pacific Life Treasury &Tax
2. Description of Work
Use
Relocation of (1) existing audio-visual notification device.
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Valuation$)Ue
Extg Sq Ft 204 New/Added Sq Ft F Total Sq Ft
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r New r Add �', Alter r Demo
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Check Appropriate Box for Applicant/Notification Information
3. Owner's Name Last pacific Life Insurance Comp First
Owner's Address Owner's E-mail Address
700 Newport center Dr.
City newport beach Stateca zip 92660 Telephone
F- 4 signer's Name Last FirstLic. No.
_ F77777 _....
Architect/Designees Address Architect/Designer's E-mail Address
1354 S. Parkside PI.
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City Ontario StateCA zip 91761 Telephone 909-957-5200
F, 5.`Cvr§ineef s Namy-- Last EAif r-�,' 0 % First �p Lic. No. �'
Engineer's Address Engineer's E-mail Address II
city1tM state I mfr- zip qj7 Telephone c(oc�-(C28 77j
r; 6. Contractor's Name Last HCI Systems Inc FirstLic. No. 905493 Class c7c10c16
Contractor's Address Contractor's E-mail Address
1354 S. Parkside Pl. Eng5@hcisystems.net
City Ontario State CA zip 91761 Telephone 909-957-5200
OFFICE USE ONLY PERMIT NO.
TYPE OF CONSTRUCTION �W� 1 �✓� PLAN CHECK NO. 0176—SVEk
OCCUPANCY- GROUP 013ia PLAN CHECK FEE $