HomeMy WebLinkAboutF2021-0296 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Department F 102 I .021
Please print 3 copies
Associated Building Permit# X2021-1204Fire Sprinkler F- Fire Alarm F- Fire Misc
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1. Project Address (Not mailing address) Floor Suite No
883 West 15th Street, Newport Beach, CA 92663 �, [77777
Tenant Name I- PC TRITON EVENTS CENTER -1ST FLOOR # Units
2. Description of Work Total Devices
Use Fire Alarm
Removal of existing and installation of new appliances due to Tenant improvement. Connect
all new appliances strobe circuits. Connect all new audio-visual appliances speaker circuits.
Valuation $ 2,488
Extg Sq Ft F7777 New/Added Sq Ft F Total Sq Ft 1276
-,i
# Stories
F7 New r_-, Add r -c, Alter F Demo
Check Appropriate Box for Applicant/Notification Information
F7, 3. Owner's Name Last 1
I First F777777
Owner's Address Owner's E-mail Address
City StateTelephone
F777 zip F 1,11, F
F5�-,r 4. Architect/Designer's Name Last VALENZUELA FirstI Lic. No. FAE�
City i State Zip Telephone
I I',, F7777 7
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[ 6. Contractor's Name Last Sripipat First Lic. No. Class c7c10c16
Contractor's Address Contractor's E-mail Address
1354 S. Parkside Pl.
lEng5@hcisystems.net
City jOntario State CA Zip F91 761 i Telephone F09-628-7773
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
evff2, D9_4"n
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $
11