HomeMy WebLinkAboutF2022-0437 - Permit Application__ worKSneet ror rire i-ermlt Application oF' m
Print Form ,
City of Newport Beach -Building Division ORS r
Please print 3 copies
Y,/FO PNP
Associated Building Permit# F Fire Sprinkler Fire Alarm rFire Misc
1. Project Address (Not mailing address) Floor Suite No
545 NEWPORT CENTER DR F_ 545
Tenant Name LUGANO DIAMONDS (Z # Units
Nt7�'1C
2. Description of Work
FIRE ALARM SYSTEM T.I.
Extg Sq Ft F_ New/Added Sq Ft Total Sq Ft
F_ New I— Add FAlter r Demo
Check Appropriate Box for Applicant/Notification
Use
Valuation $ lo,000.o0
# Stories
F_ 3. Owner's Name Last RFI - Hage First F_—
Owner's Address Owner's E-mail Address
20560 Langford Way
City Jordan State MN Zip F55352 Telephone
i— 4. Architect/Designer's Name Last First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State F Zip F TelephoneF
5. Engineer's Name Last SETTLEMOIR First MASON Lic. No. 69046
Engineer's Address Engineer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH State CA Zip g0808 Telephone
r 6. Contractor's Name Last INTERFACE SYSTEMS First F Lic. No. ClassF—
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 562-353-4680
OFFICE USE ONLY PERMIT NO. K622 b�F31
TYPE OF CONSTRUCTION PLAN CHECK NO. R�22• Zns�
n+ L toll-- 1,1 6'l
OCCUPANCY- GROUP PLAN CHECK FEE $
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