HomeMy WebLinkAboutF2023-0572 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Department
Please print 3 copies<oaa'
Associated Building Permit #
XC2023-0419 j— Fire Sprinkler r Fire Alarm I— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
100 Bayview Circle, Newport Beach, CA 92660 F--400
Tenant Name Green Street Advisors - Suite 400 # Units F
2. Description of Work
Use
Installation of new visual notification appliances, removal and relocation of existing visual and
audio-visual notification appliances ( 2 Devices)
Valuation $ 1,675
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft 4,800
# Stories I6
F- New F- Add_ [ Alter F-Demo
Check Appropriate Box for Applicant/Notification Information
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. ArchitectlDesigner's Name Last
Ramirez
First Gary Lic. No. 905493
Architect/Designer's Address
Architect/Designer's E-mail Address
1354 S. Parkside Pl.
gramirez@hcisystems.net
City Ontario
State CA
Zip 91761 Telephone 909-957-5200
r 5. Engineer's Name Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State
Zip [— Telephoned
6. Contractor's Name Last Gomez
First Miriam Lic. No. 905493 Class c7c10cl6
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
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4z tot a
PERMIT NO. Zo2 0 O-Sn
TYPE OF CONSTRUCTION
PLAN CHECK NO?CGQ 32
OCCUPANCY - GROUP
PLAN CHECK FEE $