HomeMy WebLinkAboutF2023-0069 - Permit Application_Print Form
Please print 3 copies
Associated Building Permit #
_K L t i
Worksheet for Fire Permit Application"�"m
City of Newport Beach - Building Division o `�4r
r' Fire Sprinkler r Fire Alarm r- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
SSB San Clemente 1st 150
Tenant Name IEQ Capital # Units--
2. Description of Work
Use Office
Fire SprinklerTl-9sprinklers
Extg Sq Ft �— New/Added Sq Ft F7 Total Sq Ft �—
Valuation $ 1450
- - -
r New r Add FAlter r Demo
# Stories
Check Appropriate Box for Applicant/Notification
r 3.Owner's Name
Last The Irvine Co. FirstF_
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 �— Lic. No. F
Architect/Designet's Address
Architect/Designees E-mail Address
City
State F--- Zip I— Telephoned--
r' 5. Engineer's Name
Last First Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City
State I Zip F_ Telephoner
r6. Contractor's Name
Last Fire Protection SP ecialists, Inc First RobertAnderson Lic. No. 464915 Class C-16
Contractor's Address
Contractors 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.
TYPE nF CONBTRUCTiON PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $