HomeMy WebLinkAboutF2023-0506 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies „r
Associated Building Permit #
XC2022-1892 F_ Fire Sprinkler 7 Fire Alarm Fx- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1101 Newport Beach Center Drive, Newport Beach, CA 92660 F
Tenant Name Restoration Hardware # Units
2. Description of Work
Use A-2
2 Way Elevator to Lobby Communication System
Valuation $
Extg Sq Ft 72,926 New/Added Sq Ft F Total Sq Ft 72,926
r
# Stories F
F_ New r- Add r- Alter r Demo
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name
Last
First F-
Owner's Address
Owner's E-mail Address
City
State F-
Zip F- Telephoned
F 4. Architect/Designer's
Name Last
First Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_-
Zip F__ Telephoned
F_ 5. Engineer's Name
Last
First F Lic. No. F__
Engineer's Address
Engineer's E-mail Address
Ciry
State F_
Zip F_ Telephoned_
(x 6. Contractor's Name
Last Knust-Graichen First Gene Lic. No. 961901 Class C-10
Contractor's Address
Contractor's E-mail Address
141 E. Arrow Hwy.
gene@avcomsystems.com
City San Dimas
State CA
Zip 91773 Telephone 626-310-7433
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION 0001>
OCCUPANCY - GROUP
® PLAN CHECK NO.
PLAN CHECK FEE $