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HomeMy WebLinkAboutF2019-0089 - Permit ApplicationPlease print 3 copies Associated Building Permit # o3Fz ,gctq F,20 !q- 60gq Worksheet for Fire Permit Application City of Newport Beach - Building Division �( 7 r Fire Sprinkler rFire Alarm F- Fire Misc DR, 1. Project Address (Not mailing address) ARBY PARKER First Floor Suite No 1063 NEWPORT CENTER DRIVE �— State NY Zip 10013 Telephone F01-341-8296 Tenant Name Fashion Island -Suite 1063, JAND INC. Last PETTY First PAUL Lic. No. 69046 # Units ArchitectlDesigner's E-mail Address 2. Description of Work PAUL.PETTY@INTERFACESYS.COM city LONG BEACH State CA Zip 90808 Telephone314-595-0253 PROTECTED PREMISES FIRE ALARM SYSTEM T.I. pp Use Engineer's E-mail Address City State F___ zip F- Telephone Valuation $ 1,500.00 Extg Sq Ft F— New/Added Sq Ft F__. Total Sq Ft r'.. KELLEY.SANTACRUZ@INTERFACESYS.COM City LONG BEACH State CA Zip 90808 Telephone562-353-4680 OFFICE USE ONLY # Stories F_, New r Add F_Alter (— Demo PLAN CHECK NO. OCCUPANCY - GROUP�� v C07-7 PLAN CHECK FEE $ Check Appropriate Box for Applicant/Notification F_ 3. Owner's Name Last ARBY PARKER First Owner's Address Owner's E-mail Address 233 SPRING ST FL 6 City NEW YORK State NY Zip 10013 Telephone F01-341-8296 F_ 4. Arch itect/Designer's Name Last PETTY First PAUL Lic. No. 69046 Architect/Designer's Address ArchitectlDesigner's E-mail Address 3750 SCHAUFELE AVE. STE 200 PAUL.PETTY@INTERFACESYS.COM city LONG BEACH State CA Zip 90808 Telephone314-595-0253 F S. Engineer's Name Last First F_ Lic. No. r Engineer's Address Engineer's E-mail Address City State F___ zip F- Telephone 6. Contractor's Name Last INTERFACE SYSTEMS First', Lic. No. 69046 Class C70 Contractor's Address Contractor's E-mail Address 3750 SCHAUFELE AVE. STE 200 KELLEY.SANTACRUZ@INTERFACESYS.COM City LONG BEACH State CA Zip 90808 Telephone562-353-4680 OFFICE USE ONLY PERMIT NO. -K-- -(,©L 'yUrecl, TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY - GROUP�� v C07-7 PLAN CHECK FEE $