HomeMy WebLinkAboutF2021-0291 - Permit Applicationm Worksheet for Fire Permit Application - oS
Pnnt ForI I
�.O 2 02 City of Newport Beach -Building Division
Please print 3 copies W Coast
Associated Building Permit # X2020-2925 Fire Sprinkler r Fire Alarm � Fire Misc
1. Project Address (Not mailing address) Suite No
�Floor
3900 West Costa Hwy, Buld 44, Newport Beach CA 92663
Tenant Name VR Lab # Units
2. Description of Work Z
Use B_____
Owner's E-mail Address
Add new fire alarm system devices to existing fire alarm system.
_ -, State
Extg Sq Ft 700 __. New/Added Sq Ft F7777 Total Sq Ft 700
Valuation$ 8921..
-_IIS..-.-.-
_-_ _ ,II
# Stories FT
3
F-1 New r Add r! Alter [ j Demo
4 - ' e Iz--
Check Appropriate Box for Applicant/Notification
i� 3. Owner's Name Last—
First
Owner's Address
Owner's E-mail Address
City
_ -, State
Zip �; Telephonedi
4. Architect/Designer's Name
LastFirstj Lic. No.
I F777
Architect/Designer's Address
Architect/Designer's E-mail Address
City
-------- _..__ -_--.
—�
State i
Zip � Telephone--d —
n 5. Engineer's Name Last
First Lic. No.
1
Engineer's Address
Engineer's E-mail Address
city
StateF777
ZipF -7 Telephone
r 6. Contractor's Name Last TRL Systems Inc.
First F77777 Lic. No. 413747 7 Class C10/C16
Contractor's Address
Contractor's E-mail Address
9531 Milliken Ave
---------------
ylaktineh@trlsystems.com
City Rancho Cucamonga
-- -
State CA
Zip 91730 Telephone 800-266-1392
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. , _571
OCCUPANCY- GROUP
PLAN CHECK FEE $