HomeMy WebLinkAboutF2021-0310 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address (Not mailing
083 NEWPORT CENTER DRIVE
Worksheet for Fire Permit Application
City of Newport Beach - Building Division E 'Lot I - p310
— � Ob -7 r Fire Sprinkler r Fire Alarm r Fire Misc
y-
TenantName FABLETICS
2. Description of Work
PROTECTED PREMISES FIRE ALARM SYSTEM
Extg Sq Ft-- New/Added Sq Ft F— Total Sq Ft
F_ New F Add 5Z Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
N
# Units �—
F 3. Owner's Name Last COMMERCIAL CONTRACTORS FirstINC
Owner's Address Owner's E-mail Address
Use
Valuation $ 12,000.00
# Stories F
- 6 - s -f'2
16745 COMSTOCK ST
City GRAND HAVEN State MI ZIP 9417 Telephoner�
F 4. Architect/Designer's Name Last First F�
Lic. No.
Architect/Designers Address Architect/Designer's E-mail Address
City I State F_ Zip F_ Telephoned—
F 5. Engineer's Name Last SMART First KAYLEEN
Lic. No. 469046
Engineer's Address Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH State CA Zi 90808
P Telephone 562-353-4680
F . Contractor's Name Last INTERFACE SYSTEMS First
F� Lic. No. F69046 Class C10
Contractor's Address Contractor's E-mail Address
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3750 SCHAUFELE AVE SUITE 200 KELLEY .SANTACRUZ@INTERFACESYS.COM
City LONG BEACH State 90808 Zi CA
P — Telephone562-353-4680
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO. l
PLAN CHECK NO.
PLAN CHECK FEE $