HomeMy WebLinkAboutF2021-0187 - Permit ApplicationPrintForm -] F�M -olsl
Please print 3 copies /9 -
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach -Building Department \�uvc_ SI mop
1. Project Address (Not mailrag-crucires
1375 Dove Street, Newport Beach, LA 92660
Tenant Name ITangram - Suite 300
2. Description of Work
lation of new visual and audio-visual f%
to meet proper coverage per NFPA 72
F-, Fire sprinkler rFire Alarm
appliances throughout the area of
nts due to tenant improvement work.
Exlg Sq Ft �New/Added Sq FtF2,070
�, Total Sq Ft F
f—, New r—Add r Alter r—, Demo
Check Appropriate Box for Applicant/Notification Information
r7 3. Owner's Name
Owner's Address
2922 Daimler Street
Last Goodwyn
Owner's E-mail Address
Zip F92705 Telephone F(949)224-1970
First
F,_s.C,ty-� Lic.No. 05
97493
p
ArchitectlDesigners E-mail Address
eng3@hcisystems.net
Zip F917671_7, TelephoneF9O9-957-5200
First F ,{
�City [Santa Ana State P
--- -- -
F4.Architer.t/Designer's Name LastFayate
Architect/Designer's Address
1354 S. Parkside Pl.
City Ontario State FA
F— Fire Misc
Floor Suite No
F_ 0-0
# Units
Use JFire Ala I rm
Valuation 60g lzs
# Stories
S. Engineer's Name Last First
Engineer's Address
7777-7-7
city State F
F
Jx—,6. Contractor's Name Last JHCI Systems Inc
Contractor's Address
1354 S. Parkside Pl.
City Ontario State FCA.
OFFICE USE ONLY
le 2C -
Lic. No. F
Contractor's E-mail Address
Eng5@hcisystems.net
Zip 91761 Telephone
Fwg-967-U9
n ah
TYPE OF CONSTRUCTION I-%,
OCCUPANCY - GROUP
PERMIT NO.L (fir U
PLAN CHECK NO.
PLAN CHECK FEE $