HomeMy WebLinkAboutF2021-0023 - Permit ApplicationWorksheet for Fire Permit Application gogPrint Form City of Newport Beach Building Division
Please print 3 copies I
Associated Building Permit # X2019-3992 F Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) OZ0100Floor
Last Hicks FirstKyle
Suite No
4hTel1le ik�c*ee, Newport Beach, CA 92660
2 Ada
F—
1ZZS (.J.W%sX0
State CA Zip 92618 Telephone (949) 526-8870
—
Tenant Name �—
# Units
F4 q
2. Description of Work
D
City Irvine
Fire Sprinkler Monitoring System for Building 31
Use
Last Cartagena First Raymond Lic. No. 905493
Extg Sq. Ft New/Added Sq Ft Total Sq Ft,
Valuation $
IF '
1
rcartagena@hcisystems.net
V_ ?j_�
State CA Zip 92614 Telephone(949) 724-5000
r 6. Contractor's Name
Last Carson First atLic. No. 1012096 Class A, B
Contractor's Address
Contractor's E-mail Address
# Stories
FX_ New r Add F_ Alter r Demo
City Irvine
I 32
Check Appropriate Box for ApplicantlNotification
FX_ 3. Owner's Name
Last Hicks FirstKyle
Owner's Address
Owner's E-mail Address
2 Ada
Kyle.Hicks@sheahomes.com
City Irvine
State CA Zip 92618 Telephone (949) 526-8870
r 4. Architect/Designer's
Name Last Graham First Fanre Lic. No. C-27836
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
17848 Sky Park Circle, Suite
D
City Irvine
State CA Zip 92614 Telephone (949) 346-1962
FX_ 5. Engineer's Name
Last Cartagena First Raymond Lic. No. 905493
Engineer's Address
Engineer's E-mail Address
1731 Reynolds Avenue
rcartagena@hcisystems.net
City Irvine
State CA Zip 92614 Telephone(949) 724-5000
r 6. Contractor's Name
Last Carson First atLic. No. 1012096 Class A, B
Contractor's Address
Contractor's E-mail Address
2 Ada
Matt.Carson@sheahomes,com
City Irvine
State CA Zip 92618 Telephone(949)433-5287
OFFICE USE ONLY
PERMIT NO. 1
' Z401(
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $
II