HomeMy WebLinkAboutF2019-0130 - Permit Application051q-,20iq
Worksheet for Fire Permit Application U019-0/30, gtw�_4,,
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit#
Fire Sprinkler F Fire Alarm f7j Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1500 SUPERIOR
F
Tenant Name "PERT-%. �L\ 1i C_ # Units
2.
Fire Alarm
Work
Devices.
Extg Sq Ft F777711 New/Added Sq Ft F Total Sq Ft
[7. New F,?j"Add F7 Alter F–,,. Demo
Check Appropriate Box for ApplicantlNotification
['1 3. Owner's Name Last First
I ....... ... . ......... .. . .
Use
Valuation$ F5786
Stories 3
F
Owners Address Owner's E-mail Address
F_ F . . . . ...... ........ ....... . ................. ... .. ..... .. . ... ..... .............
State Zip;
City FTelephoners
4. Architect/Designer's Name Last Vincent FirstPL Lic. No.
----------- ----- --------------
Architect/Designer's Address Architect/Designer's E-mail Address
r— —
11640 N. Batavia I - - I 11 St. I 11vincent.luu@redhawkus.com
City 1Orange StateF92867 Telephone Telephone 14-685-8100
77 Zip F
F7 5. Engineer's Name Last . First Lic. No. F_
............ __ ..... .....
Engineer's Address Engineers E-mail Address
. . . . ............. .... ...... . .......... ... ............. ....... ....... .........
city ii State F_! Zip F7777 Telephone F
f-6. Contractor's Name Last IRED HAWK fire& security First Lic. No.71309 Class C10 - C16
Contractors Address Contractors E-mail Address
1640 N. Batavia St. j Soroush.ahrar@redhawkus.com
92768'11, TelephoneF714�M-
Orange State CA ZipF
City I
OFFICE USE ONLY PERMITNO. k—tUM—lel 2V
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP PLAN CHECK FEE $
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