HomeMy WebLinkAboutF2019-0168 - Permit ApplicationWorksheet for Fire Permit Application aPrint FormCity of Newport Beach - Building Division
Please print 3 copies_0 ��
Associated Building Permit # G1 — )C) 1-i9 r Fire Sprinkler r Fire Alarm (— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
1200 Newport Center Dr i st 100
HOM Sotheby"s # Units F-
Tenant Name
2. Description of Work
Use Office
Fire Sprinkler Tl -23
sprinklers
r- 4. Architect/Designer's Name Last First [_ Lic. No.
Architect/Designer's Address
Valuation $ 2250
Extg Sq Ft F New/Added Sq Ft �— Total Sq Ft F—
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State F_ Zip �— Telephone
F_ 5. Engineer's Name
# Stories
F- New f—Add jX r -Alter �Demo
Engineer's E-mail Address
Check Appropriate Box for Applicant/Notification
3.Owner's Name
Last The Irvine Co. First
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 TelephoneF—
r- 4. Architect/Designer's Name Last First [_ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
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State F_ Zip �— Telephone
F_ 5. Engineer's Name
Last-� ' First ILL-� Lic No. �_—
Engineer's Address
Engineer's E-mail Address
City �
State F_ Zip F_ Telephone®�
r- 6. Contractor's Name
LastFire 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 CA Zip 92806 Telephone714-635-6500
OFFICE USE ONLY
PERMIT NO.���I o1O�
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $