HomeMy WebLinkAboutF2022-0040 - Permit ApplicationWorksheet for Fire Permit Application"
Please print 3 copies ��� �
`Pent Form, , City of Newport Beach - Building Division p� 6
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Associated Building Permit # �— rl Fire Sprinkler F-1 Fire Alarm Fire Misc
1. Project Address (Not mailing address)
610 Newport Center Dr
Tenant Name TD Inestments
2. Description of Work
SprinklerTI -17 sprinklers
Extg Sq Ft I New/Added Sq Ft �, Total Sq Ft I
[I New rl Add r Alter CI Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
8th 800
# Units
Use Office
Valuation $ 2850 - -
# Stories e1
r' 3. Owner's Name
Last The Irvine Co. I First
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 --_- Telephone
r 4. Architect/Designer's
Name Last First[ Lic. No. F77
Architect/Designer's Address
Architect/Designer's E-mail Address
City
- � State I J7 Zip F 7 TelephoneF--
17 5. Engineer's Name
Last First Lic. No.
- —
Engineer's Address
Engineer's E-mail Address
City
State Zip �— TelephoneC__7
❑ l% Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson ,Lic. No. 464915- J Class C-16 J
Contractor's Address
Contractor's E-mail Address
2810 E. Miraloma Ave
robert@fireprotectionspecialists.com
City Anaheim
_
State CA Zip 92806 - Telephone 714-635-6 000
-- F
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO. pvto
OCCUPANCY- GROUP
PLAN CHECK FEE $