HomeMy WebLinkAboutF2021-0301 - Permit ApplicationWorksheet for Fire Permit Application p�EWPpgm
City of Newport Beach -Building Division o q
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Associated Building Permit # X2019-4035 j r! Fire Sprinkler r.., Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
504 BALBOA BLVD. WEST
Tenant Name 504 BALBOA BLVD. WEST
2. Description of Work
VSTALLATION OF A NEW FIRE SPRINKLER MONITORING ALARM SYSTEM
Extg Sq Ft l New/Added Sq Ft Total Sq Ft F
r New (7 Add r Alter r, Demo
�- r FV'wrn wac ouw rvr "PliGar1U1V01ITICation
Floor Suite No
I F_
# Units I
Use COMMERCIAL
Valuation $ 2,517
' #Stories [3--
FV 3. Owner's Name
Last F504 BALBOA WEST PARTNERS First —,
Owner's Address
Owner's E-mail Address
601 4TH STREET, SUITE 129
City SAN FRANCISCO
State CA I Zip 94107 Telephone415-319-5566
(X 4. Architect/Designer's
Name Last WILSON FirstSPENCER , Lic. No. N/A
Architect/Designer's Address
Architect/Designer's E-mail Address
1590 S. LEWIS STREET
SPENCER.WILSON@BAYALARM.COM
City
Cit ANAHEIM
State CA
�I Zip 92805 ( Telephone 714-719-9334
n 5. Engineer's Name
Last First[ - Lic. No.
Engineer's Address
Engineer's E-mail Address
City—�`
State F— Zip F ------ 7 Telephoned
(XI 6. Contractor's Name
Last BAY ALARM COMPANCY— First �'' Lic No. 880138 Class Flo
Contractor's Address
Contractor's E-mail Address
1590 S. LEWIS STREET
E
SPENCER.WILSON@BAYALARM.COM
City ANAHEIM
State CA Zip 92805 Telephone800-610-1000
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $