HomeMy WebLinkAboutF2021-0479 - Permit ApplicationPrint Form
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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
811 NEWPORT CENTER DRIVE
Tenant Name FREE PEOPLE
2. Description of Work
F'RLMISLS FIRL ALARM
r Fire Sprinkler IX Fire Alarm j— Fire Misc
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft
1.z \—%T
7 New Add Fx Alter r— Demo
Check Appropriate Box for Applicant/Notification
9
Floor Suite No
�— 811
# Units
Use
Valuation $ 5000.00
# Stories
r 3. Owner's Name Last[AUGUST CONSTRUCTION First 7—
Owner's Address
Owner's E-mail Address
7077 N WEST ST SUITE 101
City RALEIGH State
NC Zip 27603 Telephone
F 4. Architect/Designer's Name Last
First F Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State
F Zip F_ TelephoneF_
F_ 5. Engineer's Name Last SMART
First KAYLEEN Lic. No. 69046
Engineer's Address
Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH State
CA Zip 90808 Telephone562-353-4680
F 6. Contractor's Name Last INTERFACE SYSTEMS First Lic. No. 69046 Class C10
Contractor's Address
Contractor's E-mail Address
750 SCHAUFELE AVE SUITE 200
kelley.santacruz@interfacesys.com
City LONG BEACH State
CA Zip 90808 Telephone 562-353-4680
OFFICE USE ONLY
PERMIT NO. FZ021- oq-19
TYPE OF CONSTRUCTION
PLAN CHECK NO. ? ZT)6 q v ZI
OCCUPANCY - GROUP
t72°ZI' d Sw PLAN CHECK FEE $
2ov-1990