HomeMy WebLinkAboutF2019-0426 - Permit ApplicationWorksheet for Fire Permit Application
p rnm rorru _ City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit # x2019-1419 Fire Sprinkler �, Fire Alarm Fire Misc
0
1. Project Address (Not mailing address) Floor Suite No
3rd 355
100 Bayview Cr. Newport Beach CA 92660
# Units r
111
Tenant Name
2. Description of Work
Use
Installation of new visual and audio-visual notification appliances. (2) DEVICES
Valuation $ 1,838.75 I.
Extg Sq Ft �— New/Added Sg Ft Total Sq Ft 1,432 Scl Ft
# Stories I6
F -i New r Add r'; Alter r; Demo
_ _ ST \
Check Appropriate Box for Applicant/Notification Information
F- 3. Owner's Name Last First
Owner's Address Owner's E-mail Address
Cary F _ State ��, Zip Telephoned—
�, 4. Arch itect/Designer's Name Last Carrillo First Hector Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
1354 S. Parkside PI.
City Ontario StateA Zip 91761 Telephone 909-957-5200
C
F- 5. Engineer's Name Last First', Lic. No.
Contractor's Address Contractor's E-mail Address
14 S. Parkside PI. Eng5@hcisystems.net
35
City Ontario State CA Zip 91761 Telephone909-957-5200
PERMIT NO.
OFFICE USE ONLY 177
OE OF CONSTRUCTION PLAN CHECK NO.
QANCY - GROUP �� I l� _ 3 PLAN CHECK FEE $