HomeMy WebLinkAboutF2023-0323 - Permit ApplicationWPDA
Worksheet for Fire Permit Application o m9�
Print Form City of Newport Beach - Building Division a:�F
Please print 3 copies G o�'
Associated Building Permit#
>< Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
660 Newport Center Dr.
2nd
F
2nd floor Corridor
# Units
Tenant Name
2. Description of Work
Use Office
Fire Sprinkler Tl-8sprinklers
Valuation $
1400
Extg Sq Ft F_New/Added Sq Ft F Total Sq Ft
# Stories
F
F_ New F_ Add )C Alter F_ Demo
Check Appropriate Box for Applicant/Notif!cation
r 3. Owner's Name
Last The Irvine Co.
First
Owner's Address
Owner's E-mail Address
Flo, Innovation
City Irvine
State CA
Zip 92617 Telephone
F 4. Architect/Designer's
Name Last
First Lic. No. �—
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
City �
State F__
Zip F Telephoned
F_ 5. Engineer's Name
Last
First [ Lic. No.
Engineer's Address
Engineer's E-mail Address
City �
State F_
Zip F_ TelephoneF_
F 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. FZ02,3 — 03Z3
Pcza2�J' IS6
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $