HomeMy WebLinkAboutF2021-0272 - 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 F— Fire Misc
9
1. Project Address (Not mailing address) Floor Suite No
610 Newport Center Or a 3rd 370
Tenant Name SETA # Units--
2. Description of Work
Fire SprinklerTI - 4 sprinklers
Use Office
Valuation $ 1200
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft
New
r � Add )< Alter (- Demo
#Stories [D
l
Check Appropriate Box for Applicant/Notification
F- 3. Owner's Name Last The Irvine Co. First F
Owner's Address
101 Innovation
Owners E-mail Address
City Irvine
State CA Zip 92617 Telephone
r 4. Architect/Designer's Name
t
Last First Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City
State F Zip F— Telephone
F- 5. Engineer's Name Last
First �— Lic. No.
Engineer's Address
Engineer's E-mail Address
City �
State 7 Zip F_ Telephoned
F- 6. Contractor's Name Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 46Z 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
t�
1 a —a—�— CJ�� I PERMIT NO.
TYPE OF CONSTRUCTION
` PLAN CHECK NO.
OCCUPANCY- GROUP
7 af ` 3PLAN CHECK FEE $
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