HomeMy WebLinkAboutF2022-0254 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit# Fire Sprinkler fx—: Fire Alarm
r—, Fire Misc
1. Project Address (Not mailing address) Floor Suite No
100 Bayview Circle, Newport Beach, CA 92660 220
Tenant Name I Swift Real Estate Partners # Units F
2. Description of Work
Owner's E-mail Address
City
Use
F
I`Ji—, 4. Architect/Designer's Name Last
Installation of new visual and audio-visual notification appliances.
Architect/Designer's Address
Architect/Designers E-mail Address
Valuation $
Extg Sq Ft New/Added Sq Ft Total Sq Ft
F F
City jOntario
New Add Alter Demo
# Stories
rl r—, rX— F7
Engineer's Address
Check Appropriate Box for Applicant/Notification Information
F7, 3. Owner's Name Last
First F
Owner's Address
Owner's E-mail Address
City
State Zip Telephoned
I`Ji—, 4. Architect/Designer's Name Last
Sripipat First FSanntip Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
Parkside Pl.
FT5TS_
City jOntario
State CA ,Zip 91761 Telephone [TOi 628-7773
F— 5. Engineer's Name Last
First Lic. No.
F77
Engineer's Address
Engineer's E-mail Address
City
.. . .. .. .. .. . ..... .... .
F State Telephone
F ZIP
---
_
r 6. Contractor's Name Last Williams First Dominique, Lic. No. 905493 Class F7C 1006
Contractor's Address
Contractors E-mail Address
1354 1 S 11 - Parkside P 1.
[
[Eng5@hcisystems.net
City Ontario
StatePA Zip 1761 909-628-7773
F Telephone F
OFFICE USE ONLY
k PERMIT NO. 0 t�
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY -GROUP
Al) PLAN CHECK FEE $