HomeMy WebLinkAboutF2019-0185 - Permit Applicationt I k) I r
Worksheet for Fire Permit Application ! Nor
Print Form
ssA� Ity of Newport Beach - Building Division
Please print 3 copies �%� �vl " O t
Associated Building Permit # r Fire Sprinkler 5X_ Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
807 NEWPORT CENTER DRIVE NEWPORT BEACH, CA 92660
Tenant Name IFASHION ISLAND LANDLORD DEV 807
2. Description of Work
MtW>L5 FIRE ALARM SYSTEM
Extg Sq Ft F— New/Added Sq Ft F— Total Sq Ft
New r Add F_ Alter j- Demo
--•--•• • •r -r-. ..r.. ...w vvn w� �1tltJlll4t1111/IY OIIi1GaLlOrt
Floor Suite No
First �—
807
# Units
F
Use
Valuation $ 3,900.00
# Stories F
F_ 3. Owner's Name Last KDC CONSTRUCTION
First �—
Owner's Address
Owner's E-mail Address
1442 E LINCOLN AVE. #334
City ORANGE
State CA
Zip 92865 Telephone 714-632-6717
r 4. Arch itect/Designer's Name
Last SMART First KAYLEEN Lic. No. 469046
Architect/Designer's Address
Architect/Designer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
KAYLEEN.SMART@INTERFACESYS.COM
City LONG BEACH
State CA
Zip 90808 Telephone 562-353-4680
F 5. Engineer's Name Last
First F_Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F_ Telephone[----------7-
elephonerr6.
r-6.Contractor's Name Last INTERFACE SYSTEMS First �— Lic. No. 69046 Class C70
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200
KELLEY.SANTACRUZ@INTERFACESYS.COM
City LONG BEACH
State CA
Zip 90808 Telephone 562-353-4680
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $