HomeMy WebLinkAboutF2021-0601 - Permit Application,Print Form -;
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
a—ZoZA -0UO�
f"71 Fire Sprinkler r Fire Alarm r— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1800 W. BALBOA AVE.I—,
Tenant Name BAY SHORES OPS LLC. # Units F-
2. Description of Work
City �
State F_7 ZipI r'""--------TelephoneF_
Use COMMERCIAL (R-1)
O THE CHANGE THE MEANS OF COMMUNICATION ON THE EXISTING FIRE ALARM CONTROL
UNIT FROM POTS LINES COMMUNICATION TO LTE SOLE PATH COMMUNICATION
Architect/Designer's E-mail Address
Extg Sq Ft �i New/Added Sq Ft F -i Total Sq Ft F_�
Valuation $ ,124 -
City NAHEIM
State CA Zip 92805 Telephone714-719-9334
f -j 5. Engineer's Name Last I—
#Stories 3
(� New r: Add r Alter f— Demo
Engineer's E-mail Address
I
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last i—
First F—I,
Owner's Address
Owner's E-mail Address
City �
State F_7 ZipI r'""--------TelephoneF_
r; 4. ArchitecVDesigner's Name
Last ILSON First SPENCER Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
1590 S. LEWIS ST.
SPENCER.WILSON@BAYALARM.COM
City NAHEIM
State CA Zip 92805 Telephone714-719-9334
f -j 5. Engineer's Name Last I—
s First IFI
Lic. No.
Engineer's Address
Engineer's E-mail Address
I
City �—
State F Zip Telephoned!
rXJ 6. Contractor's Name Last BAY ALARM COMPANY First 1 Lic No. 880138 Class C-1 o
Contractor's Address
Contractor's E-mail Address
1590 S. LEWIS STREET
SPENCER.WILSON@BAYALARM.COM
City NAHEIM
State CA Zip 92805 Telephone800-610-1000
OFF/CE USE ONLY
PERMIT NO. hvPTT/t " 0(bC) I
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $