HomeMy WebLinkAboutF2023-0112 - Permit Applicationdjz l �0-1 l `�z
Print Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
XCI3 - 00 I?b IX Fire Sprinkler r Fire Alarm
r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
4695 MacArthur Ct
16th
1600
Tenant Name Grant Thornton
# Units
�-
2. Description of Work
Fire SprinklerTI-3sprinklers
Use Office
Extg Sq Ft F_ New/Added Sq Ft F- Total Sq Ft
Valuation $
1150
r New j ' Add r Alter r Demo
# Stories
Check Appropriate Box for Applicant/Notification
I- 3.Owners Name
Last The Irvine Co.
First F
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 F_ Lic. No. �-
Architect/Designers Address
Architect/Designees E-mail Address
City I_
State F—
Zip F_ Telephoned
F 5. Engineer's Name
Last I
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State I
Zip F— Telephoned
6. Contractors Name
6491
Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 45 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. �%OZ3 O I iZ
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY -GROUP
714r PLAN CHECK FEE $