HomeMy WebLinkAboutF2022-0167 - Permit ApplicationPrint Form
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Associated Building Permit #
Worksheet for Fire Permit ApplicatioDll ` m)
6- City of Newport Beach - Building Division
6o
F- Fire Sprinkler [X_ Fire Alarm r- Fire Misc bf
1. Project Address (Not mailing address)
Floor
Suite No
NEWPORT CENTER DR.
110 Innovation Drive
Al
00,4
Tenant Name HAPPY LEMON
# Units
F_ 4. Arch itect/Designer's
Name Last FirstF Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
2. Description of Work
State F_ Zip Telephone
r 5. Engineer's Name
PROTECTED PREMISES FIRE ALARM SYSTEM
Use
Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
Valuation $
3000.00
Extg Sq Ft � New/Added Sq Ft � Total Sq Ft
Last INTERFACE SYSTEMS First Lic. No. 69046 Class C10
Contractor's Address
Contractor's E-mail Address
# Stories F
[_New r Add � Alter r Demo
State CA Zip 90808 Telephone F562-353-4680
OFFICE USE ONLYZ(
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name
Last IRVINE COMPANY First
Owner's Address
Owner's E-mail Address
110 Innovation Drive
City IRVINE
State CA Zip 92617 TelephoneF
F_ 4. Arch itect/Designer's
Name Last FirstF Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip Telephone
r 5. Engineer's Name
Last SETTLEMOIR First MASON Lic. No. 469046
Engineer's Address
Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH
State CA Zip 90808 Telephone562-353-4680
F_ 6. Contractor's Name
Last INTERFACE SYSTEMS First Lic. No. 69046 Class C10
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200 kelley.santacruz@interfacesys.com
City LONG BEACH
State CA Zip 90808 Telephone F562-353-4680
OFFICE USE ONLYZ(
•OSro° PERMIT NO. f,2'0z2_' 0141
TYPE OF CONSTRUCTION J ' P O21 PLAN CHECK NO. bS�}2.2oZY
OCCUPANCY- GROUP
xr��l -2� PLAN CHECK FEE $