HomeMy WebLinkAboutF2021-0068 - Permit ApplicationPrint Form
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Worksheet for Fire Per
City of Newport Beach -Building Division F,20R/- 006$
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Associated Building Permit # _ r/��/FFiirr'e�Sprinkler [ '�, Fire Alarm (-i, Fire Misc
1. Project Address (Not mailing address) Floor Suite No
900 Newport Center Drive I14th
Tenant Name Pacific Point Model Rooms # Units-''
2. Description of Work
Owner's E-mail Address
Use
State F_
Fire Sprinkler Relocate 9
(-i, 4. Architect/Designer's Name LastPutman
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Valuation $9,160.00
Extg Sq Ft F�', New/Added Sq Ft �—' Total Sq Ft F_I
Architect/Designers E-mail Address
# Stories
r-., New (- Add i- Alter r' Demo
Check Appropriate Box for Applicant/Notification
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3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City � ,,.
State F_
Zip ��I Telephoned—
(-i, 4. Architect/Designer's Name LastPutman
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First �Mali`sa Lic. No. F
Architect/Designer's Address
Architect/Designers E-mail Address
210 W Baywood Ave.
City Orange
State CA
Zip 92865 Telephone 714-685-8100
r 5. Engineer's Name Last
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First Lic No.I
Engineer's Address
Engineer's E-mail Address
City — -!
State F
Zi F Telephone—.
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j- 6. Contractor's Name Last ADT Commercial
First Lic. N—, Class C70 -C16
Contractor's Address _
Contractor's E-mail Address �`iJl� `S[.,Qo-A
210 W. Baywood Ave.
Soroush.ahrar@redhawkus.com
City Orange
State CA
Zip 92865 Telephone 714-685-8133
OFFICE USE ONLY
PERMIT NO.zI • �Q(Q
TYPE OF CONSTRUCTION — 1 \�-ZI . Q D J�
PLAN CHECK NO. ILL
OCCUPANCY- GROUP `J
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I PLAN CHECK FEE $