HomeMy WebLinkAboutF2019-0258 - Permit Application>:1-019 -oma
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Please print 3 copies
Associated Building Permit #
9-�Pte%ZfT
_
Worksheet for Fire Permit Application Q City of Newport Beach - Building Division�GZ Fire Sprinkler r Fire Alarm r Fire Misc l m;; 1
1. Project Address (Not mailing address) Floor Suite No
Owner's Address
3441-3445 Via Lido Virg; Newport Beach, CA I
# Units
Tenant Name
2, Description of Work
Use
r 4. Architect/Designees Name Last �— First I Lic. No. —'
Upgrade Existing Sprinkler Alarm System to accept sole path cellular communications and
pea
addition of of Tenant Ansul Hood Supressions System
—
Zip', Telephone
j— 5. Engineer's Name Last �—
Valuation $ Fs
Extg Sq Ft �— New/Added Sq Ft F_Total Sq Ft �'
Engineer's E-mail Address
City I State F_
# Stories F
F- New r Add DZAlter (— Demo
First Lic. No. -974443 Class -10
Check Appropriate Box for ApplicantlNotification
DZ 3.Owner's Name Last Fritz Duda Company First F
Owner's Address
Owner's E-mail Address
3425 Via Lido, Suite 250
mfrederickson@fritzduda.com
City Newport Beach State CA
Zip P2663 Telephone 9497237100
r 4. Architect/Designees Name Last �— First I Lic. No. —'
ArchitectlDesigner's Address
Architect/Designees E-mail Address
City �— State F_
—
Zip', Telephone
j— 5. Engineer's Name Last �—
First i— Lic. No. F—
Engineer's Address
Engineer's E-mail Address
City I State F_
Zip F—Telephone
D? 6. Contractor's Name Last DT Security Services
First Lic. No. -974443 Class -10
Contractor's Address
Contractor's E-mail Address
5686 Corporate Avenue
)simmons@adt.com
City Cypress State CA
Zip P0630 Telephone 9492927671
OFFICE USE ONLY
PERMIT NO. oTi�
PLAN CHECK NO.
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PLAN CHECK FEE $