HomeMy WebLinkAboutF2023-0387 - Permit ApplicationWorksheet for Fire Permit Application
_ Print Form City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit # XC2023-0075 r- Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
601 Newport Beach Dr., Newport Beach, CA 92660
Tenant Name Neiman Marcus - Fashion Islands
2. Description of Work
(Installation of new audio-visual notification appliance LI/7 V�ai ^JA 1 atv;1'/V. _
Extg Sq Ft F New/Added Sq Ft � Total 1SFt 473
r New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification Information
Floor Suite No
I-
# Units F
Use
Valuation $ 1,2367
# Stories I3
(— 3.Owner's Name
Last Lopez First Richard
Owner's Address
Owner's E-mail Address
1618 Main St
city Dallas
State TX Zip 75201 Telephone (469)262-1183
r 4. Architect/Designer's Name Last Ramirez First Gary Lic. No. F905493
Architect/Designer's Address
Architect/Designer's E-mail Address
1354 S. Parkside PI.
gramirez@hcisystems.net
City Ontario
State CA Zip 91761 Telephone 909-957-5200
r 5. Engineer's Name
Last First F Lic. No. r
Engineer's Address
Engineer's E-mail Address
City
State F Zip F_ TelephoneF—
Ix 6. Contractor's Name Las
144CE&First Lic. No. CCllass c7cl0c16
Contractor's Address
OqF";M�
Contractor's E-mail Address
1354 S. Parkside PI.
eng5@hcisystems.net
City Ontario
State CA Zip 91761 Telephone 909-957-5200
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.TC irMJ9
OCCUPANCY - GROUP
1 JO � � q PLAN CHECK FEE $
t I'S I 1 ZN