HomeMy WebLinkAboutF2023-0218 - Permit ApplicationWorksheet for Fire Permit Application o�EW�
Print Form
City of Newport Beach -Building Department „ -
Please print 3 copies �oa�"'
Associated Building Permit# XC2022-2104 r Fire Sprinkler j)t Fire Alarm rFire Misc
1. Project Address (Not mailing address)
100 Bayview Circle, Newport Beach, CA 92660
Tenant Name Spec Suite 3600
2. Description of Work
Installation of new audio-visual and visual notification appliances, relocation of existing
audio-visual notification appliance
Extg Sq Ft F— New/Added Sq Ft �— Total Sq Ft 2,903
r New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification Information
Floor Suite No
3600
# Units F
Use
Valuation $ 1 I G' 3G
# Stories I6
C— 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
FT 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 PI.
eng5@hcisystems.net
City Ontario State CA
Zip 9Telephone 9 1761 09-957-5200
F- 5. Engineer's Name Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City State F
Zip F Telephone
r 6. Contractor's Name Last Gomez First Miriam Lic. No. 905493 Class Fj0c16
Contractor's Address
Contractor's E-mail Address
1354 S. Parkside PI.
Eng5@hcisystems.net
City Ontario State CA
Zip 91761 Telephone 009-957-5200
OFFICE USE ONLY
PERMIT NO. �T/�7 OL�J3
TYPE OF CONSTRUCTION
PLAN CHECK NO./fZ
OCCUPANCY - GROUP
PLAN CHECK FEE $