HomeMy WebLinkAboutF2022-0649 - Permit Application�EW'Mj�
Worksheet for Fire Permit Application o j9
Print Form City of Newport Beach - Building Division ;
Please print 3 copies � `�f
Associated Building Permit # — (X Fire Sprinkler r Fire Alarm F— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
610 Newport Center Dr 9th 950
Tenant Name Engaged Capital # Units F
2. Description of Work
Fire Sprinkler TI-3sprinklers Use Office
Valuation $ 1150
Extg Sq Ft �— New/Added Sq Ft �— Total Sq Ft �—
# Stories
F_New j— Add (X Alter 1— Demo
Check Appropriate Box for Applicant/Notification
f - 3. Owner's Name
Last The Irvine Co.
First,
Owners 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. r
Architect/Designer's Address
Architect/Designer's E-mail Address
City �
StateF
Zip Telephone
F— 5. Engineer's Name
Last
First F_ Lic. No. �—
Engineers Address
Engineer's E-mail Address
City
State F
Zip Telephone
F_ 6. Contractor's Name
Last ire Protection Specialists, Inc First Robert Anderson Lic. No. 464915 Class C-16
F
Contractors Address
Contractor's E-mail Address
2810 E. Miraloma Ave
robert@fireprotectionspecialists.com
City Anaheim
State CA
Zip 92806 Telephone 714-635-6500
PERMIT NO.
OFFICE USE ONLY
P� 2022_ 37.Z$
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $