HomeMy WebLinkAboutF2023-0023 - Permit ApplicationPrint Form Worksheet for Fire Permit Application Please print 3 co — Newport Beach - Building Division
FZD 2�
pies
Associated Building Permit # rXb_� F— Fire Sprinkler rx Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
510 SUPERIOR
Tenant Name
2. Description of Work
Fire Alarm T/I , 2 NEW DEVICES
Extg Sq Ft �— New/Added Sq Ft �— Total Sq Ft 290
17 New r Add I— Alter r Demo
unecK Appropriate Box for Applicant/Notification
Floor Suite No
100
#Units F
Use
!C
Valuation $ 3720
# Stories I2
r 3.Owner's Name Last
�—
First I —
Owner's Address
Owner's E-mail Address
City I—
State r—
Zip F_ Telephone-
r 4. Architect/Designer's Name
Last ESPINOZA
First STEVEN Lic. No. F_
Architect/Designer's Address
Architect/Designers E-mail Address
2705 MEDIA CENTER DRIVE
STEVENSPINOZA@ADT.COM
City LOS ANGELES
State CA
Zip 90065 Telephone 323-276-3123
r 5. Engineer's Name Last
First— Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F
Zip F Telephone
r 6. Contractor's Name Last ADT COMMERCIAL
First F-- Lic. No. 1065604 Class C10-C16
Contractor's Address
Contractor's E-mail Address
210 W. BAYWOOD AVE.
SEYEDAHRAR@ADT.COM
City Orange
State CA
Zip 92765 Telephone 714-685-8133
OFFICE USE ONLY
PERMIT NO. — CO
TYPE OF CONSTRUCTION
PLAN CHECK NO. PCZOI S 7
OCCUPANCY - GROUP
PLAN CHECK FEE $