HomeMy WebLinkAboutF2021-0271 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not
mailing
055 NEWppmailing
RT CENTER DRIVE
Fl� 21 Worksheet for Fire Permit A
city of Newport Beach _ pisilCBtlOn
Building Division
Tenant NameUORI _ FASHION ISLAND
2. Description of Work
r Fire Sprinkler FX Fire Alarm
I 5 % N Y c, �y3
N OT l F) c ,r,4+J
Extg Sq Ft F New/Added Sq Ft r
F___ Total Sq Ft 1
r New 7 Add (— Alter
F_ Demo
Check Appropriate Box for App
FX 3. Owner's Name Last JA STOWELL CONSTRUCTION
Owner's Address II First
U
OwN�P
F_ Fire Misc
Floor Suite No
7055
#Units F�
Use
Valuation $ 6500.00
# Stories
1565 SCENICSTE A
Owner's E-mail Address
City COSTA MESA
State CA Zip 92626
FX 4. ArchitectiDesi Telephone[—
gner's Name Last PETTY
ArchitectiDesigner's Atldress First PAUL
3750 SCHAUFELE AVE STE 200 Lic. No. 69046
Architect/Designer's E-mail Address
City LONG BEACH
State CA Zip 90808
Telephone 562-353-4680
f 5. Engineer's Name Last
Engineer's Address First--�—
Lic. No. �—
Engineer'smail Address
I airy I 1
Stat —
Zip �
6. Contractor'sName Telephone��—
Last INTERFACE SYSTEMS
Contractor's Address First �—
Lic. No. 69046 Class CIO
3750 SCHAUFELE AVE STE 200
Contractor's E-mail Address
--------------
City LONG BEACH
State CA
OFF/CE USE ONLY Zip 80808
Telephone 562-353-4680
TYPE OF CONSTRUCTION �j�J ' 2O2IZ
PERMIT NO.
OCCUPANCY - GROUP PLAN CHECK NO.
PLAN CHECK FEE $ —