HomeMy WebLinkAboutF2021-0260 - Permit ApplicationPrint Form
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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
I 1
Xz021 _ 0-7 �) l
f— Fire Sprinkler r Fire Alarm
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lEwrogr
T to JA" QA0 U oP P9
F— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
241 NEWPORT CENTER DRIVE F 241
r
`
EVEREVE FASHION ISLAND # Units �-
Tenant Name -
2. Description of Work
Use
PROTECTED PREMISES FIRE ALARM SYSTEM
--Total
Valuation $ 3,000.00
Extg Sq Ft � New/Added Sq Ft I Sq Ft
3750 SCHAUFELE AVE SUITE 200
# Stories FT
r New Add r Alter (— Demo
3VV_
Check Appropriate Box for Applicant/Notification
Infogmatmon
F_ 3. Owner's Name Last RCG RETAIL CONTRACTING GRFirst 7—
Owner's Address
Owners
Owner's E-mail Address -
3880 LAVERNE AVE N STE 215
City LAKE ELMO
State MN Zip 55042 Telephone
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 SUITE 200
City LONG BEACH
State CA Zip 90808 Telephone562-353-4680
(— 5. Engineer's Name Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F— Telephoned
I— 6. Contractor's Name Last INTERFACE SYSTEMS First Lic. No. 69046 Class C10
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200
KELLEY.SANTACRUZ@INTERFACESYS.COM
City LONG BEACH
State CA Zip 90808 Telephone 562-353-4680
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $