HomeMy WebLinkAboutF2023-0033 - Permit ApplicationPrint Form
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Associated Building Permit #
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Worksheet for Fire Permit Application oQ
City of Newport Beach - Building Division g
r Fire Sprinkler [X— Fire Alarm r- Fire Misc
1. Project Address (Not mailing address)
545 NEWPORT CENTER DR
Tenant Name LUGANO PRIVE
2. Description of Work
TO PROVIDE A FIRE ALARM SYSTEM ADDITION FOR FASHION ISLAND SUITE
545 LUGANO T.I. AS REQUIRED BY APPLICABLE CODES
Extg Sq Ft New/Added Sq Ft F Total Sq Ft
F_ New r Add FX_ Alter F_ Demo
Check Appropriate Box for ApplicanVNotification
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Floor Suite No
# Units
Use
Valuation $ 20,000.00
# Stories
f 3. Owner's Name
Last J Hage Construction First
Owners Address
Owners E-mail Address
20560 Langford Way
City Jordan
State MN Zip 55352 Telephone
r 4. Arch itect/Designer's
Name Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip F Telephoned
F_ S. Engineer's Name
Last SETTLEMOIR First MASON Lic. No. 469046
Engineer's Address
Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH
State CA Zip 9OB08 Telephone 5623534680
F_ 6. Contractor's Name
Last INTERFACE SYSTEMS First �— Lic No. 469046 Class C10
Contractors Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200 kelley.santacruz@interfacesys.com
City LONG BEACH
State CA Zip 9FO808 Telephone 5623534688r0
OFFICE USE ONLY
Q �1,` PERMIT NO.
TYPE OF CONSTRUCTION
,\ PLAN CHECK NO. QLZo23 - 61
-GROUP
O ►'L ILOCCUPANCY
PLAN CHECK FEE $