HomeMy WebLinkAboutF2023-0059 - Permit ApplicationWorksheet for Fire Permit Application
Print Form >� r
City of Newport Beach - Building Division ' r
Please print 3 copies
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Associated Building Permit # Ir Fire Sprinkler F_ Fire Alarm F_ Fire Misc
1. Project Address (Not mailing a
620 Newport Center Dr
Tenant Name 14th Floor Restrooms
2. Description of Work
Fire SprinklerTI -4 sprinklers
Extg Sq Ft F-New/Added Sq Ft
New [_ Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
14th
# Units 7
Use Office
Valuation $ 1200
Total Sq Ft
# Stories
F_ 3. Owner's Name
Last The Irvine Co. 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 F Lic. No.l
Architect/Designees Address
Architect/Designer's E-mail Address
City
State F_ Zip F-
-Telephoner 5. Engineer's Name
Last First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City F__
State F___ Zip [- Telephoned
r 6. Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 464 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. �IiC�✓� wJ
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $