HomeMy WebLinkAboutF2021-0145 - Permit ApplicationWorksheet for Fire Permit Application
Lprfri�� City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit#
I - __ _
F7 Fire Sprinkler FK-, Fire Alarm F- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
895 Dove Street, Newport Beach, CA 92660
# UnitsF
Tenant Name Jones Lang Las
alle
2. Description of Work
Use
Installation of new visual notification appliances, removal and relocation of existing visual and,
audio-visual notification appliances. (total of 4 devices)
Valuation$ 2,147
Extg Sci Ft-New/Added Sci Ft Total Sq Ft 8,534 F F
-,Demo
# Stories 5
F
f7, New F, Add rX- Alter F_
Check Appropriate Box for Applicant/Notification Information
F-1 3. Owner's Name Last I Dobens First Felly
Owner's Address Owner's E-mail Address
4000 West Metropolitan Drive, Suite 190
City [Orange State CA Zip [92868 Telephone F 14)939-2025
r>-4�, 4. Architect/Designer's Name Las era Firs F Lic. No. qos qq3
I " I _
Architect/Designer's Address _ Architect/Designer's E-mail Address
1354 S. Parkside Pl.
City JOntario Statezip A 1761 Telephone
F Fg F969957-5200
-
F- 5. Engineer's Name Last First F Lic. No. F
Engineer's Address Engineer's E-mail Address
. . . ......... ....... ... ....... .. .. .. .. .. .. . .. .. ....
City StateF Zip
F
Telephone—
r;6. Contractor's Name Last HCI Inc First Lic. No. Class c7clOcl6
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Contractor's Address Contractor's E-mail Address
1354 S Parkside Pl. lEng5@hcisystems.net
City lOntario State [CA Zip 91761 TelephoneF9O9-957-5200
OFFICE USE ONLY PERMIT NO. 0
TYPE OF CONSTRUCTION PLAN CHECK NO. 9A'MLwi
')CCUPANCY - GROUP PLAN CHECK FEE $