HomeMy WebLinkAboutF2020-0314 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Department
Please print 3 copies f,
Associated Building Permit# 2020-0943_ t �-OI 4 7 Fire Sprinkler fT Fire Alarm Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
700 Newport Center Driveoun77,
- --- ---- -- --
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F
I A
Tenant Name Pacific Life Conference CenterVL ft�
Fx-: 4. Architect/Designer's Name Last Dodge
FirstP, anne Lic. No.
C, 3k
Architect/Designer's E-mail Address
Court, 100
Suite
14675 MacArthurI
2. Description of Work
11 11 11 - 11 11 11 11 - I I I -
City NewortBeach State
F
Telephone 949 260-8551
zip F6 F
F7 5. Engineer's Name Last
First
F Lic. No.
Installation of new fire alarm devices throughout the area of worko provide proper coverage
Use Office
City StateF
per NFPA 72. Relocate existing devices, as needed, for proper coverage.
Fj(-: 6. Contractor's Name Last HCI Systems Inc FirstF Lic. No. 9FO5493 Class 7c10c16, F
Contractor's Address
Contractor's E-mail Address
Valuation$ F26,781 25
Extg Sq FtF New/Added Sq Ft Total Sq Ft 6,350 F F1
City Ontario State FA
Zip F9-00
1761 Telephone FT9-95 7 -52
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# Stories
7
F- J
F- New F-,, Add FT, After F Demo
OCCUPANCY- GROUP
PLAN CHECK FEE $
Check Appropriate Box for Applicant/Notification Information
FT: 3. Owner's Name Last Balfour First
FaZ�
Owners Address
Owner's E-mail Address
700 Newport Center Drive
sarah.balfour@pacificlife.com
City Newport Beach State CA
F
zip F;n_w —
Telephone 949) 219-7445
F
Fx-: 4. Architect/Designer's Name Last Dodge
FirstP, anne Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
Court, 100
Suite
14675 MacArthurI
idianne-dodge@gensfer.com
11 11 11 - 11 11 11 11 - I I I -
City NewortBeach State
F
Telephone 949 260-8551
zip F6 F
F7 5. Engineer's Name Last
First
F Lic. No.
Engineer's Address
Engineer's E-mail Address
City StateF
zip Telephoned
Fj(-: 6. Contractor's Name Last HCI Systems Inc FirstF Lic. No. 9FO5493 Class 7c10c16, F
Contractor's Address
Contractor's E-mail Address
1354 S. Parkside Pl.
eng4@hcisystems.net
City Ontario State FA
Zip F9-00
1761 Telephone FT9-95 7 -52
OFFICE USE ONLY
PERMIT NO. Jk-?_CIZ_0
TYPE OF CONSTRUCTION
PLAN CHECK NO. aow
OCCUPANCY- GROUP
PLAN CHECK FEE $