HomeMy WebLinkAboutF2023-0543 - Permit ApplicationPrint Form I Worksheet for Fire Permit Application u4m_
Please print 3 copies City of Newport Beach -Building Division
Associated Building Permit #
I— Fire Sprinkler j— Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2122 Orchard Or I 2 — F—
Tenant Name Orchard 2 Story Building # Units F
- office
2. Description of Work
Use I B
2 Way Communication System
Extg Scl Ft r New/Added Scl Ft --��-W � Total Scl Ft 9.068
Valuation $ 3,593
# Stories
r New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
i— 3. Owner's Name Last Guldjian
First Christopher
Owner's Address
Owner's E-mail Address
2122 Orchard Dr
City Newport Beach State
CA
Zip 92660 Telephone
r 4. Architect/Designer's Name Last
First F_ Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City I State
F_
Zip F_ Telephoned
(_ 5. Engineer's Name Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City I State
F
Zip F_ Telephone
IX 6. Contractor's Name Last Diep
First Vincent Lic. No. 689284 Class C-10
Contractors Address
Contractor's E-mail Address
501 W. Southern Ave.
vincent.diep@vfsfire.com
City Orange State
CA
Zip 92865 Telephone 714-7788-6070
OFFICE USE ONLY
PERMIT NO. 1:WW23 - OS^f3
TYPE CONSTRUCTION
CHECK ✓ #`�vT�
OF
PLAN NOP
OCCUPANCY - GROUP
PLAN CHECK FEE $