HomeMy WebLinkAboutX2019-2139 - Permit ApplicationWorksheet for Fire Permit Application
Rrint Form City of Newport Beach - Building Division
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Please print 3 copies
rl Fire Sprinkler [I Fire Alarm nFireMisc
Associated Building Permit# I
1. Project Address (Not mailing address) Floor Suite No
660 Newport Center Dr IZ 200
Mobilitie #Units
Tenant Name
2. Description of Work
_
Use Office �I
Fire Sprinkler Tl -1
sprinkler
City Irvine
Valuation $ 1200
Extg Sq Ft F New/Added Sq Ft F_, Total Sq Ft F77777
rj 4. Architect/Designer's
Name Last �— First Lic. No.
#Stories 16
New r—,Add FI Alter n DemoI
Architect/Designer's E-mail Address
Check Appropriate Box for Applicant/Notification
Infnrmnfinn
3. Owner's Name
Last The Irvine Co. First F
Owner's Address
Owner's E-mail Address
101 Innovation
Ji
City Irvine
State CA Zip 92617 TelephoneF7777
rj 4. Architect/Designer's
Name Last �— First Lic. No.
—I
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State 7_7 Zip F Telephoned
F7 5. Engineer's Name
Last FirstF Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State Zip i Telephone
6. Contractor's Name
p First Robert Anderson Lic. No. 464915- Class C-16
Last [Fire Protection Specialists, Inc, F
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. 1
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $