HomeMy WebLinkAboutF2022-0164 - Permit ApplicationPrint Form
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Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Divi ion
PZ022-0 l4�
[ Fire Sprinkler j- Fire Alarm I— Fire Misc
7
)E.D Suite No
1. Project Address (Not mailing addressRE \IV
11 Hoag Dr.
MAR30?022
Tenant Name
'Hoag 1NTERwESts
GROUP
2. Description of Work CONSUI"(-li4C
ns a a on o a new we span er sys em or an exis ing sq. . -s orey remo a ed office
building with a 6218 sq.ft. addition. Existing riser, PIV andFDC are all relocated with some
modified underaround main work. a. O SjO(ioide,` 1,,e4c, n
Use
(Office
Valuation $
30,000
Extg Sq Ft
6,665 New/Added Sq Ft'6,218
Total Sq Ft
112,88
(- New I c Add Inc Alter r Demo
# Stories
1
Check Appropriate Box for Applicant/Notification
I— 3. Owner's Name Last
Owner's Address
First
Owner's E-mail
I
Address
City'
State
Zip
Telephone'
r 4. Architect/Designer's Name Last
Architect/Designer's Address
I First
Architect/Designer's
I Lic. No.
E-mail Address
I
City
r State I
Zip
Telephonel
(— 5. Engineer's Name Last
Engineer's Address
I
First
Engineer's
I Lic. No.
E-mail Address
I
City I
State
I Zip I
Telephone'
ric 6. Contractor's Name Last
Contractor's Address
IDollo
First
Contractor's
Jeff Lic.
E-mail Address
No.
11069002 Class1C-16
1601 W. Orangewood Ave. (A&D Fire)
Ijeffd@adfiresprinklers.com
City
'Orange State
ICA Zip 192868
Telephone
714-634-3923
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OFFICE USE ONLY 1.)21112 Ovie-PERMIT NO. eL7vl.4
TYPE OF CONSTRUCTION ��Q, 1 A9 1 PLAN CHECK NO O('i% • 201-7/
OCCUPANCY - GROUP PLAN CHECK FEE $
• 1 . I A _A