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HomeMy WebLinkAboutF2023-0107 - Permit Application�r Worksheet for Fire Permit Application ��gy Lin! City of Newport Beach - Building Department U I 167 a Please print 3 copies Associated Building Permit# [TC3022-2107 r Fire Sprinkler FT Fire Alarm F- Fire Misc 1. Project Address (Not mailing address) 1301 Dove Street, Newport Beach, CA 92660 Tenant Name jOcean West 2. Description of Work Installation of new visual and audio-visual notification appliances Extg Sq Ft New/Added Scl Ft Total Sq Ft 4,548 F F F F-, New f-, Add Fx- Alter F7 Demo Check Appropriate Box for Applicant/Notification Information Floor Suite No F_ F1 3 0 # Units Use Valuation $F340 # Stories F_ r— 3. Owner's Name Last Torre , First [Carman Owner's Address Owner's E-mail Address 1301 Dove Street, Suite 550 City lNewport Beach State CA Zip [92660 TelephoneF(949) 252_8844 rT, 4. Architect/Designer's Name Last Ramirez First Gary Lic. No. 9FO5493 Architect/Designer's Address Architect/Designer's E-mail Address 1354 S. Parkside Pl. eng5@hcisystems.net City Ontario State FA Zip 91761 TelephoneF909-957-5200 F-, 5. Engineer's Name Last First F Lic. No. F Engineer's Address Engineers E-mail Address � City F State ZIP Telephone[ 6. Contractor's Name Last Gomez First [Min —am Lic. No. 790549-3 Class F7c1Ocl6 Contractor's Address Contractor's E-mail Address 1354 S. Parkside Pl. lEng5@hcisystems.net City jOntario State CA Zip 91761 Telephone F9O9-957-5200 OFFICE USE ONLY PERMIT NO. 7;3 0(41 TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY - GROUP PLAN CHECK FEE