HomeMy WebLinkAboutF2021-0009 - Permit ApplicationWorksheet for Fire Permit Application
f�jnt.Form=;; City of Newport Beach - Building Department
Please print 3 copies 0009
Associated Building Permit # 1893-2020 F- Fire Sprinkler r Fire Alarm I- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1 Big Canyon Drive—,
Tenant Name Big Canyon Country Club # Units
2. Description of Work
Use A-2, A-3, B, M, S-1
Installation of new Power Supply, Speaker Strobe and Strobe. Removal and Re -installation of
existing Speaker Strobes and Strobes. (Total 11 Devices)
...
Valuation $ 2,541.25
Extg Sq Ft New/Added Sq Ft Total Sq Ft 6,858
# Stories I2
F7' New r7 Add rx-, Alter r Demo
Check Appropriate Box for Applicant/Notification Information
(7 3. Owner's Name Last F77777
Owner's Address Owner's E-mail Address
City F State F Zip r- -- --- Telephone
f -x: 4. Architect/Designer's Name Last Becker First Kevin Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
1354 S. Parkside Pl. eng11@hcisystems.net
City Ontari11 o State CA Zip 91761 Telephone 909-957-5200
I- 5. Engineer's Name Last First7 Lic No.
Engineer's Address Engineer's E-mail Address
City State Zip �— Telephoned
FT 6. Contractor's Name Last HCI Systems Inc First Lic. No. 905493 Class Fc7cl0c16
Contractor's Address Contractor's E-mail Address
1354 S. Parkside PI. Eng5@hcisystems.net
City Ontario State CA Zip 91761 Telephone909-957-5200
OFFICE USE ONLY e1'1 e, t,�j PERMIT NO.
TYPE OF CONSTRUCTION f V lwv f PLAN CHECK NO. ��� �•�L
OCCUPANCY- GROUP ') PLAN CHECK FEE $ -1