HomeMy WebLinkAboutF2018-0641 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies '�J® p � ® qu q I
Associated Building Permit # �— r Fire Sprinkler 1- Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Suite No
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4675 MacArthur Ct. l9 r_
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Tenant Name 9th Floor Restrooms # Units F`
2. Description of Work
Owner's E-mail Address
Use Office
Fire Sprinkler Tl - 7 sprinklers
Extg Sq Ft F New/Added Sq Ft �— Total Sq Ft
Valuation $ 1350
Zip 92617 Telephone—
# Stories r
j-' New 1° Add r Alter r Demo
Architect/Designer's Address
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name Last The Irvine Co.
First [—
Owner's Address
Owner's E-mail Address
101 Innovation #200
City Irvine State CA
Zip 92617 Telephone—
r 4. Architect/Designer's Name Last ��y„_ M A . _ ,tr--� First F Lic. No.
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Architect/Designer's Address
Architect/Designer's E-mail Address
v? 61z. N 1_Cl" V1 Ql�
City Uymrt� State I YT
Zip � i TelephoneF—
F 5. Engineer's Name Last
v First F_ Lic. No. r W
Engineer's Address
Engineer's E-mail Address
City �— � State F_
Zip F— TelephoneF�
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.
• Q
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $