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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division I- D.2
Fire Sprinkler F_ Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
620 Newport Center Dr i st 100
Tenant Name Lugano Diamonds #Units F-
2. Description of Work
Fire Sprinkler TI - (24) sprinklers Use Office
Valuation $ 2200
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft �—
# Stories F
r New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name Last The Irvine Co. First F—
Owner's Address Owner's E-mail Address
101Innovation
City Irvine State CA Zip 92617 TelephoneF—
r" 4. Architect/Designees Name Last I First I Lic. No.
ArchitectlDesigner's Address ArchitectlDesigner's E-mail Address
City State F— Zip F TelephoneF—
r 5. Engineer's Name Last First Lic No.
Engineer's Address Engineer's E-mail Address
City I State F_ Zip [ Telephoned_
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
F rISE ONLY PERMIT NO.
'4TRUCTION PLAN CHECK NO. 't Al 0763
" Ijp PLAN CHECK FEE $