HomeMy WebLinkAboutF2021-0356 - Permit Applicationriht Forrri,
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Associated Building Permit #
Worksheet for Fire Permit Application
City,of Newport Beach - Building Department
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Fire Sprinkler Fx, Fire Alarm F— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1700 Newport Center 11 Drive, I Newport -- Beach, C A 9 1 2660 Flfth F
Tenant Name# Units
Pacific Life Newport Beach Vff 2.0 - 5TH FLOOR
2. Description of Work Total :, 26 Devices (REV.01)
Use Fire Alarm
Removal and reinstallation of existing visual and audio-visual appliances. Inst
mo I Installation of new
smokedetector,
moke detector, and control relay modules.
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Valuation $ 1,639
Extg Sq Ft F—i. New/Added Sq Ft Total Sq Ft 41,307
4. Architect/Designer's
Stories F 5
F— New F— Demo
Add Alter r—
F
Architect/Designers Address
Check Appropriate Box for Applicant/Notification Information
Fx,, 3. Owner's Name
Last Balfour First Sarah
Owners Address
Owner's E-mail Address
700 Newport Center Drive
J
City Newporti Beach
State F Zip 92660 Telephone F(949)219-7445
4. Architect/Designer's
Name Last Mayate First Joseph Lic. No.9FO5493
Architect/Designers Address
Architect/Designer's E-mail Address
1354 S. Parkside Pl.
eFng3@hcisystems.net
State 9 1761 Telephone -9241
City jOntario 284
FT77 zip F
r7 5. Engineer's Name
Last FirstF Lic. No.F
Engineer's Address
Engineer's E-mail Address
City
. ............ .. ... .. ......... .
state Zip F777 Telephonel
F
6. Contractor's Name
Last Sripipat First Parintip Lic. No. F905493 Class
Fc7cl Oc 16
Contractor's Address
Contractor's E-mail Address
1354 S. Parkside Pl.
Eng5@hcisystems.net
City Ontario State [CA Zip 91761 Telephone F09-628-7773
OFFICE USE ONLY
PERMIT NO. F2021-0356 (REV.01)
TYPE OF CONSTRUCTIONN CHECK NO.
P�qMPL
OCCUPANCY- GROUP
N CHECK FEE$