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Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application °;'°'a
City of Newport Beach - Building Division '
° o„x"
r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
610 Newport Center Dr.
Tenant Name (Flex Workspace 200
2. Description of Work
Fire SprinklerTl- Osprinklers
Extg Sq Ft 7— New/Added Sq Ft r Total Sq Ft
F_ New r Add iX Alter j- Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
2nd 200
# Units 7—
Use Office
Valuation $ \'
# Stories \I
r 3. Owner's Name
Last The Irvine Co. First F__
Owner's Address
Owner's E-mail Address
Flo, Innovation
City Irvine
State CA Zip 92617 Telephone
j- 4. Architect/Designer's Name Last First Lic. No. F
Architect/Designees Address
Architect/Designer's E-mail Address
City
State F__ Zip F_ Telephone
r 5. Engineer's Name
Last I First F_ Lic No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F_ Telephoned
j_ 6. Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 46491 S Class C-16
Contractor's Address
Contractor's E-mail Address
2810 E. Miraloma Ave
robert@fireprotectionspecialists.com
City Anaheim
State CA Zip 928061 Telephone 714-635-6500
OFFICE USE ONLY
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TYPE OF CONSTRUCTION n , Z�{i pq - 11-N 1 PLAN CHECK NCTG� _-s
OCCUPANCY - GROUP
l`�� a C2_j2> PLAN CHECK FEE $