HomeMy WebLinkAboutF2023-0270 - Permit Applicationr, Worksheet for Fire Permit Application
City of Newport Beach - Building Department
LD
Please print 3 copies 5'
Associated Building Permit # { XC ZP7 _ G !F ., — Fire Sprinkler r Fire Alarm F— Fire Misc
1. Project Address (Not mailing address)
Pacific Life
Tenant Name IPacific Life
2. Description of Work
the plans, installation of new visual and audio-visual notification appliances marked as "N"
the Dlans.
Extg Sq Ft r— New/Added Sq Ft Total Sq Ft 5071
I New r Add Y Alter f Demo
Check Appropriate Box for Applicant/Notification Information
Floor
Suite No
# Units
Use
Valuation $ 7127
# Stories 15
r 3.Owner's Name
Last Balfour
First Sarah
Owner's Address
Owner's E-mail Address
700 Newport Beach
eng5@hcisystems.net
City Newport Beach
State CA
Zip 92660 Telephonel949-219-7445
ri 4. Architect/Designer's Name Last (Ramirez
First Gary Lic. No.1905493
Architect/Designer's Address
Architect/Designers E-mail Address
1354 S. Parkside PI.
eng5@hcisystems.net
City Ontario
State ICA
Zip 191761 Telephone 90g-957-5200
(-'" 5. Engineer's Name
Last First [_ Lic, No. I
III
Engineer's Address
Engineer's E-mail Address
City �—
State i
Zip Telephone]
r) 6. Contractor's Name Last Gomez
First !Miriam Lic No. 1905493 Class{c7cl006
Contractor's Address
Contractor's E-mail Address
1354 S. Parkside PI.
Eng5@hcisystems.net
City Ontario
State jCA
Zip 19176�— Telephone909-957-5200
OFFICE USE ONLY
PERMIT NO. f 2OZ 3. O2 O
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $