HomeMy WebLinkAboutF2021-0525 - Permit ApplicationWorksheet for Fire Permit Application
F(ht#iiar{yj1 a City of Newport Beach - Building Division
Please print 3 copies T:�?A7,1 iO 5_2 S .A70 GO
Associated Building Permit # X2021-0736 j>_j Fire Sprinkler [7 Fire Alarm (; Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
700 Newport Center Drive
Owner's E-mail Address
3rd
Tenant Name Pacific. Life _.._
City Newport Beach State
#Units
F
2. Description of Work
—
First F - -- Lic. No. F —'
IArchitect/Designer's Address
Architect/Designer's E-mail Address
Use Offices
F--
A t\Il•� a\ \ mkoca YCS, °` S o +!`c.�nyeo�.i-r �j
Zo\a\ ';LO -Pt" %�OCOV9- .150 0^') aAd
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Extg Sq Ft 53,940 New/Added Sq Ftn/a Total Sq Ft
53,940
Valuation $ 24,000
r New F' Add iXi Alter r'', Demo
Zip �— Telephoned—
#Stories
16
Check Appropriate Box for Applicant/Notification
Infnrm�F..r.
r' 3. Owner's Name Last Pacific Life
First F—
Owner's Address
Owner's E-mail Address
700 Newport Center Drive
City Newport Beach State
CA
Zip 92660 1 Telephone 949-219-7445
f7 4. Architect/Designer's Name Last ---
—
First F - -- Lic. No. F —'
IArchitect/Designer's Address
Architect/Designer's E-mail Address
City �----_� � State
F--
Zip [— Telephone[—
F_ 5. Engineer's Name Last F
First F Lic. No. l ,
II
Engineer's Address
Engineer's E-mail Address
City �.-- _ State
[-�—_.—
Zip �— Telephoned—
r 6. Contractor's Name Last Advance Fire Protection Co.
First Lic. No. 259936 Class C16
Contractor's Address
Contractor's E-mail Address
1451 W Lambert Road
ggaleotti@afpco.com
City La Habra State
CA
Zip 90631 Telephone562-691-0918
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $