HomeMy WebLinkAboutF2022-0575 - Permit ApplicationPrint Form
Please print 3 copies
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
c9C/F00.NP
Associated Building Permit #
r Fire Sprinkler F' Fire Alarm F_. Fire Misc
1. Project Address (Not mailing address) Floor Suite No
895 DOVE [4TH 4501460
#Units
Tenant Name
2. Description of Work
Use
FIR ALARM TENANT IMPROVEMENT, 7 NEW DEVICES. It l
Valuation $ 10525
Extg Sq Ft New/Added Sq Ft Total Sq Ft
# Stories
F New FX_ Add FI Alter F-I Demo
Check Appropriate Box for Applicant/Notification
informatoon
F_ 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State Zip Telephone
4. Architect/Designer's Name
Last Espinoza First Steven Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
2705 MEDIA CENTER DRIVE
steven.espinoza@redhawkus.com
City LOS ANGELES
State CA Zip 90065 Telephone 323-276-3100
r— 5. Engineer's Name Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City I
State F_ Zip Telephone
r 6. Contractor's Name Last ADT Commercial First Lic. No. 10765604 Class C10C16
Contractor's Address
Contractor's E-mail Address
210 W. Baywood Ave.
seyedahrar@adt.com
City Orange
State CA ___j Zip 92865 Telephone 714-685-8133
OFFICE USE ONLY
TYPE OF CONSTRUCTION
Q1 �� I PERMIT NO.
�- �� "� PLAN CHECK NO.
OCCUPANCY- GROUP
O PLAN CHECK FEE $