HomeMy WebLinkAboutF2023-0217 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit # XC2022-2103 r Fire Sprinkler Fx— Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
100 Bayview Circle, Newport Beach, CA 92660
Tenant Name Spec Suite 2620
2. Description of Work
of new visual and audio-visual notification applainces
Extg Sq Ft New/Added Sq Ft Total Sq Ft 4,303
F— New I— Add r Alter r Demo
Check Appropriate Box for Applicant/Notification Information
Floor Suite No
2620
# Units
Use
Valuation $ 210,5
# Stories I6
r 3.Owner's Name
Last Edwards First Jeannie
Owner's Address
Owner's E-mail Address
100 Bayview Circle Suite 270
jedwards@graniteprop.com
City Newport Beach State CA Zip 92660 Telephone (909)628-7773
Fx— 4. Architect/Designer's
Name Last Ramirez First Gary Lic. No. 905493
Architect/Designer's Address
Architect/Designer's E-mail Address
1354 S. Parkside Pl.
eng5@hcisystems.net
City Ontario
State CA Zip 91761 Telephone 009-957-5200
r 5. Engineer's Name
Last First F Lic. No.
Engineers Address
Engineer's E-mail Address
City
State F_ Zip [— Telephoned
fx— 6. Contractor's Name
Last Gomez First Miriam Lic. No. 905493 Class c7c10c16
Contractor's Address
Contractor's E-mail Address
1354 S. Parkside PI.
Eng5@hcisystems.net
City Ontario
State CA Zip 91761 Telephone 909-957-5200
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $