HomeMy WebLinkAboutF2022-0539 - Permit ApplicationWorksheet for Fire Permit Application o�
Pnnt Form i City of Newport Beach -Building Division T� o 4
Please print 3 copies �ZZ-
Associated Building Permit # r Fire Sprinkler N Fire Alarm F j Fire Misc
1. Project Address (Not mailing address) Floor Suite No
500SUPERIOR 1st J 100
Tenant Name HOAGE SUITE 100 DIGESTIVE HEALTH
2. Description of Work
FIR ALARM TENANT IMPROVEMENT, 48 NEW DEVICES.
Extg Sq Ft �— New/Added Sq Ft—! Total Sq Ft
❑ New N Add C] Alter F j Demo
Check Appropriate Box for Applicant/Notification
# Units
Use
Valuation $ 36900
# Stories ! 1
[ 3. Owner's Name Last First
Owner's Address Owner's E-mail Address
City State � Zip Telephone
4. Architect/Desi ner's Name Last Es inoza I First en Lic. No.
Architect/Designer's Address ) `k� Architect/Designer's E-mail Address
2705 MEDIA CENTER DRIVE stev espirao�a�redhawkus�om• cxS�ai_-- .
City LOS ANGELES State CA Zip 90065 Telephon 3Cr3i96--
- -- --- - - - �— Lic No. 5. Engineer's Name Last First ��
Engineer's Address Engineer's E-mail Address
City - - State F77 Zip r Telephone
[�6.Contractor's Name Last •6FfAWK �p l First�J Lic.No�C1 Class
Contractor's Address C� `pr G Contractor's E-mail Address N0656
2705 MEDIA CENTER DRIVE
City LOS ANGELES State FT71Zip 90065 Telephone 323-276-3100
OFFICE USE ONLY PERMIT NO. tle,7� ��' �✓�3
TYPE OF CONSTRUCTION PLAN CHECK NO. ��/GZ' nL
OCCUPANCY - GROUP PLAN CHECK FEE $
0