HomeMy WebLinkAboutF2019-0586 - Permit ApplicationF-20 1'::A 0oc6
Worksheet for Fire Permit Application
Print Form City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit# X2019-1914 Fire Sprinkler r Fire Alarm I— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
100 Bayview Cir Newport Beach... _... _... 1ST 1200
# Units
Tenant Name Stereo Scope Coffee
2. Description of Work
Owner's E-mail Address
Use
Installation of new visual and audio-visual notification appliances.
2 devices
City Newport Beach
State ca
Valuation $ 2,940.00_
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft 672 :.
Name Last Chakma First Fannee Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
1..
Stories g
F New rl Add r; Alter F-#
Demo
f
City Ontario State CA
Zip 91761 Telephone 909-957-5200
Check Appropriate Box for Applicant/Notification Information
r 3. Owner's Name
Last Granite Properties
First;
Owner's Address
Owner's E-mail Address
100 Bayview Cr
City Newport Beach
State ca
Zip 92660 Telephone
r, 4. Arch itectlDesigner's
Name Last Chakma First Fannee Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
1354 S. Parkside PL
City Ontario State CA
Zip 91761 Telephone 909-957-5200
5. Engineer's Name
Last �—
First; Lic. No. F
Engineer's Address
Engineer's E-mail Address
City—
State—,
Zip Telephoned—
r 6. Contractor's Name
Last HCI Systems Inc First F Lic No. 905493 Class Fc7cl006
Contractor's Address
Contractor's E-mail Address
1354 S. Parkside PI.
Eng5@hcisystems.net
City Ontario
State CA
Zip 91761 Telephone 909-957-5200
OFFICE USE ONLY
PERMIT NO. p7eFFls �5�
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY -GROUP
i
O L) PLAN CHECK FEE $