HomeMy WebLinkAboutF2021-0295 - Permit ApplicationPlease print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Department Urn,
Ml,
X20210668Fire Sprinkler FK—. Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
100 '- Bayview 3 L ayview Circle, Newport Beach, CA 92660
Tenant Name JSIGNATURE BANK EXPANSION
J
2. Description of Work Total : 9 —Devices
Installation of new remote booster power supply to support all new notification appliances.
Installation " of - n . ew - visual and . audio - visual I notification " , , ' appliances. Connect all new visual an
Extg Sq Ft New/Added Sq Ft Total Sq Ft 6738
F I'll F�' F
I—' Now [7, Add FxF After r7r Demo
Check Appropriate Box for Applicant/Notification Information
Floor Suite No
677 3_200,',
# Units
Use �
F
Valuation $ 2,920
# Stories F6-,
Fx-, 3. Owner's Name Last
EDWARDSFirst
FJEANNIE
Owner's Address
- - - -- -----------
100 BAYVIEW CIRCLE, SUITE 230
Owner's -mail Address
CitY
NEWPORT BEACH
State
Zip i(360
Fg Telephone[
— — — — ----------------------------
F949)725-990
- 4. Architect/Designer's Name
[K7 4. Architect/Designers Name
Last
Last First[CA E AR Lic. No. 905493 i
EZ
Architect/Designer's Address
1354 S. Parkside Pl.
Architect/Designer's E-mail Address
. .... .. .
eng2@hcisystems.net
City Ontario
State Cq
Zip 91761 Telephone
F( 0F9
F7 5. Engineer's Name Last
Engineer's
First Lic. No.
F
Address
Engineer'sE-mail Address
City
State
F77
Zip
F�'111
Telephone
.. ......
..
F>—�, 6. Contractor's Name
-- — — — — — — — —
Last Fr'PlPat�' FirstFSanntip , Lic No. 9FO5493 Classfc7clOcm
Contractor's Address
1354 S. Parkside PI.
CityOntario State Cq
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
Contractor's E-mail Address
Eng5@hciSystems.net
Zip 91761 TelephoneF9O9�-628-7773
0(to
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $