HomeMy WebLinkAboutF2022-0199 - Permit Applicationf2,,o2-7�? ®1q 5
Print Form ,
Please print 3 copies
Ri dIriinn Permit #
sheet, for Fire Permit Application 9450T,City of Newport Beach - Building Division
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❑ Fire Sprinkler ❑X Fire Alarm n Fire Misc
1. Project Address (Not mailing address) I
Floor Suite
35 No
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35 NEWPORT CENTER DRIVE
_
#Units
Tenant Name DICK'S SPORTING GOODS'
2. Description of Work
Use
FIRE ALARM SYSTEM ADDITION I
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Valuation $ 000.00 '
Extg Sq Ft—� New/Added Sq Ft
Total Sq Ft—
- -
# Stories F
[-! New ❑ Add X Alter ❑ Demo
Check Appropriate Box for Applicant/Notification
❑ 3.Owner's Name Last
Owner's Address
435 NEWPORT CENTER DRIVE
City NEWPORT BEACH State
E- 4. Architect/Designees Name Last
A,haoct/nesioner's Address
city - _. -._- - —i State
❑ 5. Engineer's Name Last
Engineer's Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH - State
[- 6. Contractor's Name
Contractor's Address
3750 SCHAUFELE AVE. SUITE 200
City LONG BEACH State
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
First DYLAN
Owner's E-mail Address
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Zip2660 Telephoned—'
First Lic. No.
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Architect/Designer's E-mail Address
Zip Telephonef�
First ASON - -_ Lic. No.69046 --
Engineer's E-mail Address
Zlp 90808 Telephone 562-353-4680 .
First Lic. No. 69046 Class .10
Contractor's E-mail Address
KELLEY. SANTACRUZ@ I NTERFAC ESYS. CO M
Zip 90608 Tele hone562 353 4660
01" PERMIT NO.
PLAN CHECK
PLAN CHECK FEE $