HomeMy WebLinkAboutF2022-0112 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
X Fire Sprinkler F- Fire Alarm '— Fire Misc
1. Project Address (Not mailing address)
14675 MacArthur Ct
Tenant Nam�f6Fi' e exiran OriA ��
2. Description of Work
Fire Sprinkler TI - 8 sprinklers
Extg Sp Ft F— New/Added Sq Ft F— Total Sq Ft
r New F_ Add X Alter F Demo
c,necec Appropriate tsox Tor AppIicanVNotification
j
Floor Suite No
I6th 625
#Units F—
Use :Office
Valuation $ 1400
#Stories
3. Owner's Name
Last The Irvine Co.
First
Owner's Address
Owner's Email Address
1101 Innovation
City Irvine
State CA
Zip 92617 Telephone
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F 4. Architect(Designer's
Name Last Mj
rj First w Lic. No.
Architect/Designer's Address
Architect/Deslgner's E-mail Address
Ciry
State F
I
-
Zip F— Telephone[
F 5. Engineer's Name
Last F
First F— Lic No.
Engineers Address
Engineers E-mail Address
City I
State �—
ZipI Telephone
r 6. Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson 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
PERMIT NO. C
TYPE OF CONSTRUCTION
PLAN CHECK NO. ' V�
OCCUPANCY - GROUP
PLAN CHECK FEE $ ' '