HomeMy WebLinkAboutF2021-0221 - Permit Applicationz2I>a 0
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Worksheet for Fire Permit Application p EW`°"O
City of Newport Beach -Building Division ;, g
Please print 3 copies v - "� I �oa�"
Associated Building Permit # r� Fire Sprinkler Fire Alarm Fire Misc
1. Project Address (Not mailing address) Floor Suite No
347
347 NEWPORT CENTER DRIVE
LEVI'S FASHION ISLAND # Units
Tenant Name
2. Description of Work
Use 3
PROTECTED PREMISES FIRE ALARM SYSTEM
Valuation $ 11,000.00
Extg Sq Ft F_New/Added Sq Ft F_Total Sq Ft
# Stories 7—
F_New D< Add (— Alter F—Demo
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last ISC CONTRACTING First F_
Owner's Address
Owner's E-mail Address
1545 S KINGSHIGHWAY BLVD
City SAINT LOUIS
State MO Zip 63110 Telephone
F_ 4. ArchitectIDesignees Name
Last PETTY First Paul Lic. No. 69046
Architect/Designers Address
Architect/Designer's E-mail Address
3750 SCHAUFELE AVE SUITE 200
City LONG BEACH
State CA Zip 9FO808 Telephone 62-353-4680
F— 5. Engineer's Name Last
First F_ Lic No.
Engineer's Address
Engineer's E-mail Address
City r—
State r__ Zip F— Telephoned
F_ 6. Contractor's Name Last INTERFACE SYSTEMS First �— Lic. No. 69046 Class C10
Contractor's Address
Contractor's E-mail Address
3750 SCHAUFELE AVE SUITE 200
kelley.santacruz@interfacesys.com
City LONG BEACH
State CA Zip 9FO808 Telephone562-353-4680-7
OFFICE USE ONLY
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PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
Zt —O —Z, PLAN CHECK FEE $