HomeMy WebLinkAboutF2023-0049 - Permit Applicationf pz� bD��
Worksheet for Fire Permit Application go
City of Newport Beach - Building Division
Please print 3 copies„
Associated Building Permit # I— Fire Sprinkler F. Fire Alarm �; Fire Misc
1. Project Address (Not mailing address) Floor Suite No
360 SAN MIGUEL DR., NEWPORT BEACH, CA 92660 F— 405
Tenant Name ISUITE DR. FARSHIDI #Units r
2. Description of Work
- Use - MEDICAL
- - --- - --
___. _.
TENANT IMPROVEMENT - ADD IN EXISTING FIRE ALARM SYSTEM, INCLUDING SMOKE DE
NOTIFICATION DEVICES AND BPS. FURNISH & INSTALL NEW NOTIFICATION DEVICES, SMOKE DETECTORS I
AND BPS. 7..
Extg Sq Ft 1,240 New/Added Sq Ft IO —� Total Sq Ft 1 ,240
Valuation $ 4,519.96
#Stories
F"'i New F_ Add (7 Alter F— Demo
Check Appropriate Box for Applicant/Notification
j— 3. Owner's Name
Last i— First F—
Owners Address
Owner's E-mail Address
City
State Zip F— Telephone
r 4. Architect/Designer's Name Last First F_ Lic No. �—
ArchitecUDesignees Address
Architect/Designees E-mail Address
City
' State Zip Telephone
S 5. Engineer's Name
Last First— Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State F Zip �— Telephone�—
7 6. Contractors Name Last
MILLER First JOHN Lic No. 750871 Class C-10
Contractor's Address
Contractor's E-mail Address
8724 MILLERGROVE DR.
JMILLER@a WEPROTECTALL.COM
Ci SANTA FE SPRINGS
ty
State CA Zip 90670 Telephone 562-536-7290 -
OFFICE USE ONLY
PERMIT NO. FZOZ 3 OOy
TYPE OF CONSTRUCTION
_ PLAN CHECK NO. ZOL3" 019 Z
OCCUPANCY - GROUP
PLAN CHECK FEE $