HomeMy WebLinkAboutF2025-5130 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Division
Please print 3 copies _ t
Associated Building Permit# �(iZ(_�)()Z /_ CJ r Fire Sprinkler F_ Fire Alarm _ _ J r— Fire Misc
1. Project Address (Not mailing
Newport Center Dr.
Tenant Name Evolus 1400 1200
2. Description of Work
Fire SprinklerTl #1400- (22)sprinklers
Fire SprinklerTl #1200- (6) sprinklers
Extg Sq Ft F New/Added Sq Ft Total Sq Ft
r New F— Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
14TH/12th 140/1200
# Units
Use Office
Valuation $ 2100/1300
# Stories
r 3. Owners Name Last The Irvine Co.
First F
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA
Zip 92617 Telephone
r 4. ArchitectlDesigner's Name
Last
First F Lic. No.
Architect/Designees Address
Architect/Designees E-mail Address
City
J State 7—
Zip F Telephone
r 5. Engineer's Name Last
First F Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip Telephoned
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
12810 E. Miraloma Ave
robert@fireprotectionspecialists.com
City Anaheim
State CA
Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
PERMIT NO. f-Z4)�S
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $