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Associated Building Permit #
_F2i01U —DVL1j
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
F_1 11"" 1 iK Fire Sprinkler l— Fire Alarm I Fire Misc
1. Project Address (Not mailing address) Floor Suite No
4695 MacArthur Ct. 950
Tenant Name William Lyon Homes # Units Is.
2. Description of Work
Owner's E-mail Address
Use Office
Fire Sprinkler Tl -l4 sprinklers
Extg Sq Ft I- New/Added Sq Ft F- Total Sq Ft F_Valuation
$ 1700
State CA
Zip 92617 TelephoneF�
F New r Add jX Alter r` Demo
# Stories
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name
Last The Irvine Co.
First F_
Owner's Address
Owner's E-mail Address
101 Innovation #200
City Irvine
State CA
Zip 92617 TelephoneF�
F 4. ArchitecUDesigner's
Name Last l �
First F_ Lic. No. F_
Architect/Designees Address
Architect/Designer's E-mail Address
City F�
�� State F_Zip
�� Telephone��
F S. Engineer's Name
Last F-
First r- Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City �
State �-
Zip �� Telephoned_
F 6. Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 464915 Class C-16
Contractor's Address
Contractor's E-mail Address
2810 E. Miraloma Ave
robert@fireprotectionspecialists.com
City Anaheim
State CA
Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
PERMIT NO. OiO�T
TYPE OF CONSTRUCTION
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PLAN CHECK NO. K T41 B
OCCUPANCY- GROUP
PLAN CHECK FEE $
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