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Associated Building Permit #
Worksheet for Fire Permit Application V -1f711 �
City of Newport Beach - Building Division . 1 1/
2 1
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LAW. 111 r Fire Sprinkler r Fire Alarm r— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
4675 MacArthurCt 4th 400
Tenant Name BKF Engineers # Units �-
2. Description of Work
_
Use Office W
Fire Sprinkler Tl - 5 sprinklers
Extg Sq Ft I New/Added Sq Ft Total Sq Ft F_
Valuation $ 1250
F_ New Add#
Alter
Stories
r (-" Demo
Zip 92617 Telephone
Check Appropriate Box for Applicant/Notification
In rwatmon
r 3. Owner's Name
Last The Irvine Co.
First I
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA
Zip 92617 Telephone
F- 4. Architect/Designer's
Name Last First F Lic. No. F
Architect/Designees Address
Architect/Designer's E-mail Address
City �—
State�—
Zip F— Telephone
r 5. Engineer's Name
Last
First �— Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City �—
State F
Zip F® Telephone
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,
TYPE OF CONSTRUCTIONI^hlq1<
PLAN CHECK NO. '
OCCUPANCY - GROUP
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V f�
PLAN CHECK FEE $