HomeMy WebLinkAboutF2022-0109 - Permit ApplicationPnrtt,lora fi;
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application o22�nln P
City of Newport Beach - Building Division
F_ Fire Sprinkler rX; Fire Alarm i--- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
14699 JAMBOREE ROAD 1 ST FLOOR AND BASEMENT F F
Tenant Name HOAG JAMBOREE BLDG A # Units C�
2. Description of Work
Owner's Address
Fire Alarm T/I , REVISION ON PERMIT NO F2021-0499
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Use
Extg Sq Ft New/Added Sq Ft Total Sq Ft
Valuation
FX,. New 1—... Add Alter j—.. Demo
#Stories I
Check Appropriate Box for Applicant/Notification
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'.3.Owner's Name
Last�.�.
_.... First_
I
Owner's Address
Owner's E-mail Address I
City
. State 1..
zip�.,....�_....._... TelephoneF__ _._.
F 4, .Architect/Designer's
Name Last Vincent
First (LLuu Lic. No.
Architect/Designers Address
W BAYWOOD AVE.
I
Architect/Designer's E-mail Address
@
Ivincent.luu@adt.com
cent.luu adt.com
City Orange
State [CA�
Zip 92865 Telephone F714-_685-81 00 p
7 5. Engineer's Name
'
�.W.._..____-�__�._...._.__.�-.._..._.._.
Last
�_.— '. Lic No.
First
1
Engineer's Address
Engineers E-mail Address
City,,. _
_., State
Zip Telephone
F 6. Contractor's Name
Last ADT COMMERCIAL
First Lic. No. 1065604 Class P0 -C16'
Contractor's Address
210 W. BAYWOOD AVE.
., ._,_...
Contractor's E-mail Address
.�... m..._.._._
SEYEDAHRAR@ADT.COM
City Orange
State �CA
Zip 19 65 Telephone 714-685-8133
OFFICE USE ONLY
PERMIT NO. F 2D ZZ — G O q 1
TYPE OF CONSTRUCTION
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PLAN CHECK NO. I I'�y ZZ ^ 03g I
OCCUPANCY- GROUP
PLAN CHECK FEE $
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