HomeMy WebLinkAboutF2019-0296 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
rU IU , 0 Zit (P
FX_ Fire Sprinkler (— Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
6EONew port Center Dr 13th (
fo
Tenant Name 13th Floor Unisex Restroom # Units �-
2. Description of Work
101 Innovation
Use Office
Fire Sprinkler Tl -1 sprinkler
Extg Sq Ft f—New/Added Sq Ft F— Total Sq Ft
Valuation $ 1050
F New r Add r' AlterDemo
#Stories F
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/Designees
Name Last �— First F— Lic. No.
ArchitecMesigner's Address
ArchitectlDesigner's E-mail Address
City �
State Zip F_ Telephoned
F 5. Engineer's Name
Last �— First I Lic. No.
Engineer's Address
Engineer's E-mail Address s
City �—
State F_ Zip F— Telephoner�
F_ 6. Contractor's Name
Last Fire Protection Specialists, Inc FirstRobert Anderson Lic. No. 4649q& 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. 4
TYPE OF CONSTRUCTION PLAN CHECK NO. f7
OCCUPANCY - GROUP
PLAN CHECK FEE $
11(f - ---