HomeMy WebLinkAboutF2023-0063 - Permit ApplicationWorksheet for Fire Permit Ap lication
Print Form ZD �3 —C)04 City of Newport Beach - Building Di ion �U (� U
Please print 3 copies
Associated Building Permit # (X Fire Sprinkler r Fire Alarm ire Misc
1. Project Address (Not mailing address) Floor Suite No
h 10
4695 MacArthur Ct 14t45
Tenant Name Suite 1450 # Units
2. Description of Work
Use Office
Fire SprinklerTI -48 sprinklers
Valuation $ 3400
Extg Sq Ft � New/Added Sq Ft F_Total Sq Ft
# Stories F
r New F_ Add r Alter F—Demo
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 TelephoneF
f 4. Architect/Designees
Name Last First [_ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �_ Zip F— Telephoned
F 5. Engineer's Name
Last F__ First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F— Zip F— Telephoned
F 6. Contractor's Name
Last Fire Protection Specialists, Inc First RobertAnderson 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
7,
'Q PERMIT NO.
V (Jq yVIG,
TYPE OF CONSTRUCTION PLAN CHECK NO. ��' " �✓ �"���'
OCCUPANCY - GROUP
"' 111 / PLAN CHECK FEE $