HomeMy WebLinkAboutF2019-0149 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies 1
Associated Building Permit # r Fire Sprinkler r Fire Alarm
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F- Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
4675 Mac Arthur Ct.
15th
1500
Capital
# Units
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Tenant Name Toba
City Irvine
2. Description of Work
r 4. Architect/Designer's Name
Last First Lic. No.
Use Office
Architect/Designer's Address
Fire Sprinkler TI - relocate 64 sprinklers, add 74 sprs 046
Valuation $
8900
Extg Sq Ft F New/Added Sq Ft Total Sq Ft �—
r 5. Engineer's Name Last I
— First F� Lic No.
# Stories
r New r Add r Alter r Demo
City �
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
City Irvine
State CA Zip 92617 Telephone—
r 4. Architect/Designer's Name
Last First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
----
City
State F— Zip TelephoneF_
r 5. Engineer's Name Last I
— First F� Lic No.
Engineer's Address Address
Engineer's E-mail Address
City �
State F— Zip F_ Telephone—
r 6. Contractor's Name Last Fire Protection Specialists, Inc FirstRobert 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 CAZip 92806 Telephone714-635-6500
OFFICE USE ONLY/(�`e%06�+
PERMIT NO.
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TYPE OF CONSTRUCTION
; �G PLAN CHECK NO.
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6
OCCUPANCY- GROUP
PLAN CHECK FEE $