HomeMy WebLinkAboutX2019-2970 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies A. Ai 0
Associated Building Permit # r Fire Sprinkler (x Fire Alarm
1. Project Address (Not mailing address)
Last KDC CONSTRUCTION First �—
Floor Suite No
4�EW�Rr
1442 E. LINCOLN AVE #334
953
F_ Fire Misc
Architect/Designer's Address
1. Project Address (Not mailing address)
Last KDC CONSTRUCTION First �—
Floor Suite No
Owner's E-mail Address
1442 E. LINCOLN AVE #334
953
953 NEWPORT CENTER DRIVE NEWPORT BEACH, CA 92660
Architect/Designer's Address
�—
3750 SCHAUFELE AVE
PAUL.PETTY@INTERFACESYS.COM
# Units F
Tenant Name FASHION ISLAND SUITE 953 VANILLA BOX T.I.
F_ 5. Engineer's Name
Last First Lic. No. F_
2. Description of Work
Engineer's E-mail Address
City
Use II I
PROTECTED PREMISES FIRE ALARM SYSTEM
Last INTERFACE SYSTEMS First Lic. No. 69046 Class C10
Contractor's Address
Valuation $ 15,450.00
Extg Sq Ft New/Added Sq Ft r--� Total Sq. Ft r
KELLEY.SANTACRUZ@INTERFACESYS.COM
City LONG BEACH
State CA Zip 90808 Telephone562-353-4680
OFFICE USE ONLY PERMIT NO.
TYPE OF CONSTRUCTIONPLAN CHECK NO. L
OCCUPANCY- GROUP
PLAN CHECK FEE $ —�"�
# Stories
Alter (— Deo
F_New r Add r m
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name
Last KDC CONSTRUCTION First �—
Owner's Address
Owner's E-mail Address
1442 E. LINCOLN AVE #334
City FO ANGE State CA Zip 92660 Telephoner _
F_ 4. Architect/Designer's Name Last PETTY First PAUL Lic. No. 469046
Architect/Designer's Address
Architect/Designer's E-mail Address
3750 SCHAUFELE AVE
PAUL.PETTY@INTERFACESYS.COM
City LONG BEACH
State CA Zip 90808 Telephone 562-353-4680
F_ 5. Engineer's Name
Last First Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City
State rZip F TelephoneF_
F-6. Contractor's Name
Last INTERFACE SYSTEMS First Lic. No. 69046 Class C10
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE
KELLEY.SANTACRUZ@INTERFACESYS.COM
City LONG BEACH
State CA Zip 90808 Telephone562-353-4680
OFFICE USE ONLY PERMIT NO.
TYPE OF CONSTRUCTIONPLAN CHECK NO. L
OCCUPANCY- GROUP
PLAN CHECK FEE $ —�"�