HomeMy WebLinkAboutF2022-0258 - Permit ApplicationPrint Form
Worksheet for Fire Permit Application" ���
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit #
r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
660 Newport Center Or 4th 450 -
Tenant Name Flex Workspace 450 # Units
2. Description of Work
Use Office
FireSprinklerTl-29sprinklers
Valuation $ 2450
Extg Sq Ft New/Added Sq Ft .Total Sq F_
Ft
-
# Stories �!
C New F_ Add R' Alter r Demo
Check Appropriate Box for Applicant/Notification
Inforwafmon
r 3. Owners Name
Last The Irvine Co. First;
Owner's Address
Owner's E-mail Address
101 Innovation
� �
cityIrvine_ - ---- -
P P
_ - --'! State CA - -_- Zip 92617 - Telephone
F_! 4. Architect/Designer's Name Last _ - First [ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F_ Zip Telephone
F_ 5. Engineer's Name
Last First F Lic. No.
Engineer's Address
-
Engineer's E-mail Address
City -
State F777 Zip � Telephonew
(— 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 F77 Zip 92806 - Telephone[ —
OFFICE USE ONLY
PERMIT NO. �ZoZ2' o2S�O
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $