HomeMy WebLinkAboutF2022-0315 - Permit ApplicationWorksheet for Fire Permit Application
Print Form
City of Newport Beach -Building Division o g
Please print 3 copies wP"
Associated Building Permit # rX�/.j7Z d 5 r Fire Sprinkler fR Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
4000 MacArthur Blvd. I L 50 & 260
Tenant: Name # Units F
2. Description of Work (2)
Use
r
Tenant improvement to existing fire alarm system. Install (7) devices. T _A
Valuatio st c/00
Extg Sq Ft ��', New/Added Sp Ft �— Total Sq Ft 3453
#S
New r Add AlterDemo tories I
l0
Check Appropriate Box for ApplicanVNotification
I— 3.Owner's Name
Last—� First f ——
Owner's Address.
Owner's E-mail Address
City F_
State F_ Zip I Telephone
r 4. Architect/Designer's
Name Last Jeang First Hu Lic. No. 724633
Architect/Designees Address
Architect/Designees E-mail Address
4300 N. Harbor Blvd.
Hu.Jeang@ajk a.com
City Fullerton
State CA Zip 92835 Telephone (714)505-1977
f— 5. Engineer's Name
Last First.— Lic.No.
Engineer's Address
Engineer's E-mail Address
City I —— State F Zip I Telephone.--
K 6. Contractor's Name
Last Kealey First Crandall Lic. No. 724633 Class C10; B
Contractor's Address
Contractor's E-mail Address
4300 N. Harbor Blvd.
Angela.Ma@ajk-a.com
City Fullerton
State CA Zip 92835 Telephone (714)505-1977
OFFICE USE ONLY
V7o—// —o3>3 Z PERMIT NO < t5 Z 031 S
p'
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $
n LM i - 7,X-), -7—