HomeMy WebLinkAboutF2022-0116 - Permit ApplicationWorksheet for Fire Permit Application U�
City of Newport Beach - Building Department
Please print 3 copies F206-
Associated Building Permit # Fire Sprinkler Fj(-, Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
100 BA Y VIEW CIRCLE, NEWP0R T BEACH, CA 92660
Tenant Name # Units
r
2_,Descr'iptiqnof Work
Owner's E-mail Address
Use F
Remove and relocation of existing audio-visual notifications appliances. Installation of new
visual notification appliances.
Extg Sq Ft New/Added Sq FtF_,Total Sq Ft 3275
Valuation $
# Stories F6—,
New r7Add F Alter r_-ir Demo
F-, ,
Check Appropriate Box for Applicant/Notification Information
F7, 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City State Telephone
F77 zip[ F
ljj-( 4. Architect/Designer's Name Last I Mayate First Joseph Lic. No.
Architect/Designer's Address Architect/Designers E-mail Address
1354 S. Parkside Pl.
City Ontario State CA Zip [91761 TelephoneF69-957-5200
F7, 6. Contractor's Name Last HCI Systems Inc First— Lic. No. 905493 Class [c7c10c16
F
Contractor's Address Contractor's E-mail Address
1354 S. Parkside Pl. Eng5@hcisystems.net
City jOntario State A Zip Telephone -957-5200
Fc Fg
OFFICE USE ONLY PERMIT NO. _r
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY - GROUP PLAN CHECK FEE $