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Associated Building Permit #
Worksheet for Fire Permit Application 06 0 qp
City of Newport Beach - Building Division
XC 2.o 1 ?_ ^ 11919 FX_ Fire Sprinkler I— Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
360 San Miguel Drive, Newport Beach, California 92660
Tenant Name (Rhodes Development
2. Description of Work
Fire Sprinkler System Tenant Improvement(Add 4 and Relocate 5 Fire Sprinkler Heads).
Extg Sq Ft New/Added Sq Ft Total Sq Ft
F_ New r Add x Alter j— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
7th. 706
# Units F
Use Office
Valuation $ F17,000.00
# Stories
F 3.Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City
State F_ Zip f Telephone
r 4. Arch itecVDesigner's Name
Last Robles First Argel Lic. No. 577621
Architect/Designer's Address
Architect/Designer's E-mail Address
1075 W. Lambert Road
arobles@coscofire.com
City Brea
State Ca. Zip 92821 Telephone 714-989-1800
F 5. Engineer's Name Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State Zip �— Telephone
F 6. Contractor's Name Last Cosco Fire Protection Inc. First F Lic. No. 577621 Class C-16
Contractor's Address
Contractor's E-mail Address
1075 W. Lambert Road
fmone@coscofire.com
City Brea
State Ca. Zip 92821 Telephone 714-989-1800
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $