HomeMy WebLinkAboutF2023-0326 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Department
Please print 3 copies
Associated Building Permit # xCuZ7J — G } F— Fire Sprinkler (x Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
4400 MacArthur Blvd., Newport Beach, CA 92660
Tenant Name IGreenlaw
2. Description of Work
nstallation of new audio-visual notification appliances (19 devices)
Extg Sq Ft 11,626 New/Added Sq Ft F Total Sq Ft
r New r Add r Alter r— Demo
Check Appropriate Box for Applicant/Notification Information
Use
o e
o
C44poRFP
Floor Suite No
500 &550
# Units F
Valuation $ 3,728
# Stories F
F— 3. Owner's Name
Last
First
Owner's Address
Owner's E-mail Address
City
State F_
Zip Telephoned
Fx— 4. Architect/Designer's
Name Last Beskhairoun
First Soty Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
1354 S. Parkside PI.
City Ontario
State CA
Zip 91761 Telephone 909-957-5200
r 5. Engineer's Name
Last
First F Lic. No. F
Engineer's Address
Engineer's E-mail Address
City
State �
Zip F_ Telephoned
r 6. Contractor's Name
Last Williams First Pormnique 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 009-957-5200
OFFICE USE ONLY
�o PERMIT NO.
TYPE OF CONSTRUCTION
,p
d� PLAN CHECK NO.> ?�aai;3' 15'77
OCCUPANCY - GROUP
DG 0
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0 PLAN CHECK FEE $