HomeMy WebLinkAboutF2021-0523 - Permit ApplicationPlease print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
V7,07,i -7w
[X-2021-07351 (X Fire Sprinkler F_ Fire Alarm
N CSD
f7 Fire Misc
1. Project Address (Not mailing address)
First F
Floor
Suite No
700 Newport Center Drive
700 Newport Center Drive
2nd—!
Tenant Name Pacific Life
State CA
#Units
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2. Description of Work
Architect/Designer's Address
Architect/Designer's E-mail Address
cih'--
State F—__.--
Use Offices
(— 5. Engineer's Name Last f
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Engineer's E-mail Address I
Extg Sq Ft 42,362 _ New/Added Sq Ft n/a _ Total Sq Ft
42,362
Valuation $ 24,000
Newr: Add fX', Alter f7. Demo
First F— Lic. No. 259936 Class C16.
#Stories
F
Check appropriate Box for Applicant/Notification
R 3. Owner's Name Last Pacific Life
First F
Owner's Address
Owner's E-mail Address
700 Newport Center Drive
City Newport Beach
State CA
Zip 92660 Telephone 949-219-7445
4. Architect/Designer's Name
Last r.—.-� � .First F—, Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
cih'--
State F—__.--
Zip r�. Telephoned,
(— 5. Engineer's Name Last f
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First r•_ Lic. No. i
Engineer's Address
Engineer's E-mail Address I
...
City f - --.--
State F
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Zip Telephoned
rl: 6. Contractor's Name Last Advance Fire Protection Co.
First F— Lic. No. 259936 Class C16.
Contractor's Address
.
Contractor's E-mail Address
1451 W Lambert Road
ggaleotti@afpco.com
City La Habra
State CA
Zip 90631 Telephone 562-691-0918
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION e
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $