HomeMy WebLinkAboutF2019-0475 - Permit Application0 �/ Worksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
1`'
Please print 3 copies
Associated Building Permit # X2019-1617 F_ Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
610 NEWPORT CENTER DRIVE
I_
600
Tenant Name I
#Units
F
CHIPOTLE MEXICAN GRILL
ArchitecVDesigners Address
Architect/Designer's E-mail Address
2. Description of Work
Use lA C'r
l
State FCA Zip 1 91740 Telephone (909)305-1600
FIRE ALARM T.I.: ADDING 20 SPEAKER/STROBES, 16 STROBES,
F 5. Engineer's Name Last
5 SMOKE DETECTORS. TOTAL DEVICES: 41
Engineer's Address
Extg Sq Ft I New/Added Sq Ft F Total Sq Ft F-4,068
Valuation$ 19,971.00
State (-- Zip TelephoneF`
r 6. Contractor's Name Last TAYLOR First RICHARD Lic. No. (729905 Class FC10
# Stories
18
i- New I- Add r Alter r Demo
ktaylor@becinc.net
City GLENDORA
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last (The
Irvine Company FirstF
Owner's Address
Owner's E-mail Address
111 Innovation Dr.
City I IrVlrie
State f --- Zip F_ TelephoneF
F_ 4. Architect/Designer's Name
Last BALTAZAR-MORENO First FARI Lic. No. r
ArchitecVDesigners Address
Architect/Designer's E-mail Address
2246 Lindsay Way
cad8@becinc.net
City Glendora
State FCA Zip 1 91740 Telephone (909)305-1600
F 5. Engineer's Name Last
First I Lic. No. F—
Engineer's Address
Engineer's E-mail Address
City F
State (-- Zip TelephoneF`
r 6. Contractor's Name Last TAYLOR First RICHARD Lic. No. (729905 Class FC10
Contractor's Address BUILDING
ELECTRONIC CONTRO�ontractor'sE-mail Address
2246 LINDSAY WAY
ktaylor@becinc.net
City GLENDORA
State CA Zip 91740 Telephone 909-305-160
OFFICE USE ONLY
�`��;e PERMIT NO,
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
j PLAN CHECK FEE $
19