HomeMy WebLinkAboutF2021-0496 - Permit ApplicationWorksheet for Fire Permit Application
Print Form
City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit # Fire Misc In Fire%Alarm F—,
Va F Fire Sprinkler FK
1. Project Address (Not mailing address) Floor Suite No
601Lido—Park Drive, Newport Beach, CA 92663 F77
Tenant Name Lido Condominium Elevator Modernization # Units
2. Description of Work Total 3 Devices
Use
F
Installation of new Smoke Detectors and Control Relay Module.
Valuation $ 2,138
Extg Sq Ft New/Added Sq Ft F Total Sq Ft 555
# Stories F
11
New f_—r Add Alter F—, Demo
Check Appropriate Box for Applicant/Notification Information
F7 3. Owners Name Last First
Owner's Address Owner's E-mail Address
- - -- - - ---------- - --- ---------- -
City State F-, ZIP [",Telephone F_
r 4. Architect/Designer's Name Last Suwanrat First Eve Lic. No. 905493
Architect/Designer's Address Architect/Designer's E-mail Address
1354 S. Parkside Pl. leng4@heisystems.net
City Ontario State F_ Zip 91761 Telephone 909-786-2862
F— 5. Engineer's Name Last First
F Lic. No.
Engineer's Address Engineer's E-mail Address
.. .. . ... .......... .
City State ZIP Telephone
F�
r7c 6. Contractor's Name Last S ri - p - ip I at First Farintip Lic. No. 905493 ClassFc7clOcIT
Contractor's Address Contractor's E-mail Address
1354 S. Parkside Pl. Eng5@hcisystems.net
City Ontario State FCA zip 91761 Telephone F09-628-7773
A n/i
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $