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City of Ne ort Beach - Building Division
Please print 3 copies QCZeIZiZ — (�(�
Associated Building Permit # JtC Fire Sprinkler r Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address)
1009 NEWPORT CENTER DR
Tenant Name PAC SUN 1
2. Description of Work
(PROTECTED PREMISES FIRE ALARM SYSTEM
Extg Sq Ft F_ New/Added Sq FtF Total Sq Ft
F_ New I— Add r, Alter F— Demo
Check Appropriate Box for Applicant/Notification
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Floor Suite No
1009
# Units F—
Use
Valuation $ 18,000.00
# Stories F
FX_ 3. Owner's Name
Last TRI NORTH
First
Owner's Address
Owner's E-mail Address
City FITCHBURG
State WI
Zip 53711 Telephone
4. Architect/Designees
Name Last
First F_ Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �
Zip � Telephoned
FX 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 Telephone 562-353-4680
r' 6. Contractor's Name
Last INTERFACE SYSTEMS First F Lic. No. 4679046 Class C10
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200
kelley.santacruz@lnterfacesys.com
City LONBG BEACH
State CA
Zip 908o8 Telephone 5623534680
OFFICE USE ONLY
PERMIT NO.2c3LZ
TYPE OF CONSTRUCTION
PLAN CHECK NO. PC&5Z-/Z - 2153
OCCUPANCY- GROUP
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_Q ,73-7 PLAN CHECK FEE $