HomeMy WebLinkAboutF2019-0462 - Permit ApplicationPxinti Form -
Worksheet for Fire Permit Application?EW�Ra
' City of Newport Beach -Building Department I015-,29/9 0
Please print 3copies r 0l9-ONV
Associated Building Permit # ( Fire Sprinkler Fire Alarm f Fire Misc
1. Project Address (Not mailing address) Floor Suite No
4695 MacarthurCt Newport Beach CA 926601st r
Tenant Name Macarthur Cafe # Units
2. Description of Work
Use
Installation of new visual and audio/visual notification appliances. 5 Devices
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Extg Sq Ft 2,592 SO FT New/Added Sq Ft F Total Sq Ft F
Valuation $1,930.25
New Add
# Stories J
r r r Alter r Demo
Check Appropriate Box for Applicant/Notification Information 1 —/" - S V �Z
3. Owner's Name Last Irvine Company
First
Owner's Address Owner's E-mail Address
111 Innovation Way
City Irvine Stateca __ Zip 92617 Telephoned'
FK-, 4. Arch itect/Designer's Name Last First F Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
1354 S. Parkside PI.
City Ontario State CA Zip 91761 Telephone 909-957-5200
' 6. Contractor's Name Last HCI SysteInc '., First �� Lic. No. 905493 Class c7c10c16
ms
Contractor's Address Contractor's E-mail Address
1354 S. Parkside PI. En95@hcisystems.net
City 11Ontario State CA Zip 91761 Telephone 909-957-5200
OFFICE USE ONLY PERMIT NO. F 1 — 014b'21
TYPE OF CONSTRUCTION PLAN CHECK NO. 15 w
OCCUPANCY - GROUP PLAN CHECK FEE $
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