HomeMy WebLinkAboutF2023-0146 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit #
F_ Fire Sprinkler V Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address)
1401 AVOCADO AVE. NEWPORT BEACH, CA 92660
Tenant Name I SUITE DR. OPENSHAW
2. Description of Work
TENANT IMPROVEMENT -OF AN EXISTING BUILDING. NEW FIRE ALARM NOTIFICATIO D
INSTALLED AND TIED INTO EXISTING FIRE ALARM PANEL AS PER THE APPLICABLE CODES. SPRINKLER
WATERFLOW SWITCH IS BEING MONITORED TO ACTIVATE NOTIFICATION DEVICES UPON ALARM.
Extg Sq Ft 6,500 New/Added Sq Ft Total Total Sq Ft 6,500
New F_ Add F Alter i— Demo
Grleck Appropriate Box for ApplicanVNotification
Floor Suite No
r— 705
# Units F
Use MEDICAL ,
Valuation $ 9,970.75
# Stories
r 3. Owner's Name
Last First
Owner's Address
Owner's E-mail Address
City
State F Zip �— Telephoned—
i- 4. ArchitecUDesigner's
Name Last F First F— Lic. No. F—
ArchitectlDesigner's Address
ArchitectlDesigner's E-mail Address
- _.. --- ------ -.----
Clty f - -_
--------------
State �— Zip F— Telephone—
[ 5. Engineer's Name
Last - First —
_.. Lic. No. �—
Engineer's Address
Engineer's E-mail Address
City
State F. Zip TelephoneF
V6. Contractor's Name
LastMILLER First JOHN Lic.No. 750871 Class C-10
Contractor's Address
Contractor's E-mail Address
8724 MILLERGROVE DR.
JMILLER@WEPROTECTALL.COM
City SANTA FE SPRINGS
State CA Zip 90670 Telephone 562-536-7290
OFFICE USE ONLY
PERMIT NO. 0/
TYPE OF CONSTRUCTION PLAN CHECK NO.'-`
OCCUPANCY - GROUP
PLAN CHECK FEE $
�220T9j,pb'/! XCZp�rOd�