HomeMy WebLinkAboutF2019-0560 - Permit Applicationi%
y} E Worksheet for Fire Permit Application
City of Newport Beach - Building Division IiW19_ Deco
Please print 3 copies
Associated Building Permit # F f Fire Sprinkler rX-Fire Alarm r- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
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21115 NEWPORT COAST
Tenant Name HOAG URGENT CARE # Units
2. Description of Work
City State F
'i
Use
Fire Alarm T/I 14 New Devices.
11
- --- - - - -
Extg Sq Ft New/Added Sq Ft F Total Sq Ft F
Valuation$ 11853
vincent.luu@redhawkus.com
# Stories F
F_ New fx, Add f-' Alter r'-° Demo
5. Engineer's Name Last
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Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City State F
Zip Telephone F_
F_ 4. Architect/Designer's Name Last Vincent
First Luu Lic. No.
Architect/Designer's Address
ArchiteaUDesigner's E-mail Address
1640 N. B 11 atavia St.
vincent.luu@redhawkus.com
City Orange State CA
Zip 92867 Telephone 714-685-8100
5. Engineer's Name Last
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First Lic. No.
Engineer's Address
Engineer's E-mail Address
City State �—
Zip Telephone
1776. Contractor's Name Last FRED HAWK fire & security
First F Lic. No. 713099 Class Cl0 C16,
Contractor's Address at
Contractor's E-mail Address � &_ o
1640 N. Batavia St. 10, 91.
lSoroush.ahrar@redhawkus.com Ob• 30
City Orange State CA
Zip (92768 Telephone 714-685-8100
OFFICE USE ONLY x � n . VIAq PERMIT NO.
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TYPE OF CONSTRUCTION
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r PLAN CHECK NO.�
f I
OCCUPANCY -GROUP I
PLAN CHECK FEE