HomeMy WebLinkAboutF2022-0633 - Permit ApplicationPrint Form Worksheet for Fire Permit Application OVC;
City of Newport Beach - Building Division Goal 0633Please print 3 copies
Associated Building Permit# �— r Fire Sprinkler IX Fire Alarm (-` Fire Misc
1. Project Address (Not mailing address) Floor Suite No
3110 Newport Blvd, Newport Beach, CA
92663
Tenant Name Cal Tech Fire Protection #Units �-
2. Description of Work
Installation of a new Central Station monitoring system
Use
---
Extg Sq Ft F _ New/Added Sq Ft ��� Total Sq Ft 14878
Valuation $ 12350
Stories
R New Add F_ Alter F Demo
Check Appropriate Box for Applicant/Notification
x 3. Owner's Name
Last INahas
First Michel
Owner's Address
Owners E-mail Address
City La Crescents
State
ICA
Zip 91214 Telephone 310-345-4117
j_ 4. Arch itecVDesigner's Name
Last I
First F Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State
F_
Zip TelephoneF
(x 5. Engineer's Name
Last Behnam
First Dokhi Lic No.��
Engineer's Address
Engineer's E-mail Address
12021 Wilshire Blvd
firetechds@gmail.com
City Los Angeles
State
CA
Zip 90025 Telephone 310-435-7513
R 6. Contractor's Name Last
Gleiberman
First Barry Lic. No. 688203 Class C10 /16
Contractor's Address
Contractor's E-mail Address
1875 Blake Avenue
bear@bearcontractorsinc.com
City Los Angeles
State
CA
Zip 90039 Telephone 323-660-7511
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
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j
I (I ��
PLAN CHECK NO.
OCCUPANCY - GROUP
1
PLAN CHECK FEE $
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