HomeMy WebLinkAboutF2021-0343 - Permit ApplicationWorksheet for Fire Permit Application
Friiit'Form
City of Newport Beach -Building Department
Please print 3 copies Fir 'L� - 0; LLs
Associated Building Permit # j r,' Fire Sprinkler FK, Fire Alarm F Fire Misc
1. Project Address (Not mailing address) Floor Suite No
700 Newport Center Drive, Newport Beach, CA 92660 Ground—i
Tenant Name Pacific Life Newport Beach WT 2.0 -GROUND FLO # Units
2. Description of Work Total: 55 Devices (REV.01)
Use Fire Alarm
Removal and reinstallation of existing visual and audio-visual appliances. Installation of new
remote booster power supply, control relay modules.
Valuation $ 3,468
Extg Sq Ft �I New/Added Sq Ft F Total Sq Ft 67,559
Zip 92660 Telephone (949)219-7445
r 4. Arch itect/Desig nor's Name Last Fayate FirstJoseph Lic. No. 905493
# Stories 15
F7 New l^ Add F)c-Alter F Demo
Architect/Designer's E-mail Address
Check Appropriate Box for Applicant/Notification Information
F-3. Owner's Name Last Balfour
First Sarah
Owner's Address
Owner's E-mail Address
700 Newport Center Drive
City Newport Beach State
CA
Zip 92660 Telephone (949)219-7445
r 4. Arch itect/Desig nor's Name Last Fayate FirstJoseph Lic. No. 905493
Architect/Designer's Address
Architect/Designer's E-mail Address
1354 S. Parks11 ide P 11 I.
eng3@hcisystems.net
CdY Ontario State
CA
Zip 91761 Telephone 909-284-9241
5. Engineer's Name Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City i State
Zip Telephoned
r 6. Contractor's Name Last Sripipat
First Farintip Lic. No. 905493 Classc7c10cl6
F
Contractor's Address
Contractor's E-mail Address
1354 S. Parkside PI.
Eng5@hcisystems.net
City 11 Ontario State
CA
Zip 91761 Telephone 909-628-7773
OFFICE USE ONLY
(� ERMITNo. F2021-0343 (REV?01)+
TYPE OF CONSTRUCTION
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�� ,l// PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $