HomeMy WebLinkAboutF2021-0513 - Permit ApplicationWorksheet for Fire Permit Application t- 2021-01
City of Newport Beach - Building Department
Please print 3 copies 11 UN -o"
Associated Building Permit # 021-2204 ri Fire Sprinkler � Fire Alarm F—r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
100 Ba I
yv iew Circle, Newport Beach CA 92660 51,01,01,
--------------------- -- _ ---- ---- - ------- ---- F77 F
Tenant Name iWaterford - Suite 4500 # Units F
2. Description of Work Total : 3 Devices
Installation of new visual and audio-visual notification appliances.
Use
Valuation $ 1,241
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft 3,121
# Stories F7,
f—, New r7,, Add F— Alter F_7 Demo
Check Appropriate Box for Applicant/Notification Information
F-1 3. Owner's Name Last First
----------- - -- ------- --- ---- -- -- -- -- --- ---- F777777
Owners Address Owner's E-mail Address
F__ -------- -------- -- --- ---- ---- - - ---------- --
city State Zip Telephone
4. Architect/Designer's Name Last Suwarrat
First Eve Lic. No. 955
Architect/Designer's Address Architect/Designers E-mail Address
1354 S. Parkside PI. eFng4@�hcisystems.net
City lOntario i State
[EA77 zip FT� Tele 909-786-2862
F7 5. Engineer's Name Last First Lic. No.
Engineers Address Engineer's E-mail Address
. .. .... ..................... . ............... ..... . ..
City State f Zip Telephone
F77777
X.6. Contractor's Name Last Sri pipat First Sarinti Lic. No. 905493 ClassFc7c`]Ocl6l
Contractor's Address Contractors E-mail Address
1354 S. Parkside PI. Eng5@hcisystems.net
City Ontario 11 11 I 11 I 11 State [EA zip 91761 Telephone 909-628-7773
OFFICE USE ONLY PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK N,
OCCUPANCY - GROUP PLAN CHECK FEE $