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Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
3 47-S X2_020- on
r Fire Sprinkler r Fire Alarm r" Fire Misc
1. Project Address (Not mailing address) Floor Suite No
3415-3423 Via Lido, Newport Beach, CA 92663 r— F—
Tenant Name Fritz Duda and Companies # Units r� —
2. Description of Work ` wow
_
Use
Owner's E-mail Address
Modifications to an existing system to include sale source cellular
EMg Sq FtF_New/Added Sq Ft [_Totai Sq Ft �—
Valuation $q
j'
State CA
# Stories
F- New r– Add rx After(– Demo
Name Last First �4, Lic. No.
Check Appropriate Box for Applicant/Notification
Infnrrn�tlnn
r 3. Owner's Name
Last Fritz Duda & Companies
First F---'
Owner's Address
Owner's E-mail Address
3425 Via Lido, Suite 250
mfrederickson@fritzduda.com
City Newport Beach
State CA
Zip 92663 Telephone 949.723.7100 x215
C 4. Architect/Designer's
Name Last First �4, Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
city I–�--
State F_
Zip F Telephoner---
F 5. Engineer's Name
Last �—
First F_ Lic. No, F,
Engineer's Address
Engineer's E-mail Address
City r-
State F__
Zip r— Telephone`—
F76. Contractor's Name
Last 1ADT Security Services LLC' First Lic. No. C-974443 classFc
Contractor's Address
Contractor's E-mail Address
161 E La Palma Ave
jsimmons@adt.com
City naheim
State CAZip
92607 Telephone 9492927671
OFFICE USE ONLY
PERMIT NO. WZ_Q-, 0113
TYPE OF CONSTRUCTION
PLAN CHECK NO. LISOS 322-0
OCCUPANCY- GROUP
PLAN CHECK FEE $