HomeMy WebLinkAboutF2019-0171 - Permit Applicationo166-�-°la
FSOIq- olli Worksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit#1AZ*
OM–J-2 F_ Fire Sprinkler ix Fire Alarm
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F_ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1131 NEWPORT CENTER DRIVE NEWPORT BEACH CA 92660 11131
HAVAIANAS FASHION ISLAND T.I. SUITE 1131 # Units �-
Tenant Name
2. Description of Work
PROTECTED PREMISES FIRE ALARM SYSTEM
Use
State PA Zip 16066 Telephone 724-772-8282
Valuation $ 3,500
Extg Sq Ft 7—New/Added Sq Ft F Total Sq Ft
Last PETTY First PAUL Lic. No.69096
#Stories F
F- New (- Add F -Alter r Demo
Check Appropriate Box for Applicant/Notification
F– 3. Owner's Name Last RECTENWALD BROTHERS CON First 7—
Owners Address
Owner's E-mail Address
16 LEONBERG ROAD
City CRANBERY TOWNSHIP
State PA Zip 16066 Telephone 724-772-8282
F_ 4. Arch itect/Designer's Name
Last PETTY First PAUL Lic. No.69096
Architect/Designer's Address
Architect/Designer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
PAUL.PETTY@INTERFACESYS.COM
City LONG BEACH
908
State CA Zip 15 Telephone 562-353-4680
F_ 5. Engineer's Name Last
First F Lic. No.
F
Engineer's Address
Engineer's E-mail Address
City
State F___ Zip F— Telephoned
F– 6. Contractor's Name Last INTERFACE SYSTEMS First 7—Lic No. F69046 Class C10
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH
State CA Zip 90808 Telephone562-353-4680
OFFICE USE ONLY
PERMIT NO. 20 1
(7I i
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $