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HomeMy WebLinkAboutF2021-0287 - Permit ApplicationPrint Farm Worksheet for Fire Permit Application i `""° City of Newport Beach - Building Division {� , U" Please print 3 copies / f0U {54YV! 0411/ Gl �% r �� �� 'UisS % ' oR N! Associated Building Permit # F FX Fire Sprinkler r- Fire Alarm F- Fire Misc 7. Project Address (Not mailing address) Floor Suite No 100 Bayview Circle 3rd 3200 Tenant Name Signature Bank # Units �- 2. Description of Work Owner's E-mail Address Use Office Fire Sprinkler Tl -59 sprinklers Extg Sq Ft F— New/Added Sq Ft F— Total Sq Ft F—Valuation $ 3950 F New F- Add (x' Alter r- Demo #Stories t,necK Appropriate l3ox for Applicant/Notification F- 3. Owner's Name Last Granite Properties First �— Owner's Address Owner's E-mail Address 5601 Granite Parkway #1200 City Plano State TX Zip 1 75024 Telephone— r 4. Architect/Designer's Name Last �— First F_ Lic. No. F_ Architect/Designer's Address Architect/Designees E-mail Address City I— State F_ Zip F_ Telephane[— r 5. Engineer's Name Last First F Lic. No. �- Engineer's Address Engineer's E-mail Address City �— State r— Zip [_ 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. 0^261 TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP PLAN CHECK FEE $