HomeMy WebLinkAboutF2017-0571 - Permit Application20 - 17-0571
Print Form -
Please print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Department (9
r-, FireSprinkler rg� FireAlarm Fire Misc
1. Project Address (Not mailing address) Floor Suite No
00 3e2t 0 qiY_0- "-WF(Yr 13CA r126W,
F
Tenant Name
2. Description of Work
FCI�-
ExtgSqFtr_b2_51Olio New/Added Sq Ft F_ Total Sq Ft 1100
F7 New f-,, Add � Alter 1`7 Demo
Check Appropriate Box for Applicant/Notification Information
3. Owner's Name Last ;First!;
Owner's Address Owners E-mail Address
City stateF Zip Telephone F
Units F
Use
Valuation $ F1_r, �jr _ET
# Stories FT
J9 6. Contractor's Name Last HCl Systems Inc First F� Lic. No. [905493 Class1c7c10cT1
Contractor's Address Contractor's E-mail Address
11354 S. Parkside Pl. Eng5@hcisystems.net
City JOntario State FCA Zip 191761 Telephone 909-957-5200
I OFFICE USE ONLY PERMIT NO. Fw(-/— OS71 1
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PLAN CHECK NO.
,I - 53-6 - Zo t'
PLAN CHECK FEE $ 701,00