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City of Newport Beach Fire Permit Application
1
Project Address
4695 MacArthur Ct. 1000 92660
Number and Street suite/unit zip
Associated Building Permit #
Z
Owner / Tenant
Tax and Financial Group
Name
3
Scope of work/
fire sprinkler TI - (70) sprs
misc. description
X TI Addition Alteration Demolition
Construction
*Check one
u Commercial JC Fire Sprinkler
Number of Stories
70 Number of Heads per building
13 LJ13R 13D
Multi -Family (3+units) M Fire Alarm
FIVumber of Devices E3 Number of
Dwelling Units
QResidential (1-2 units) Fire Underground
0 Number of Risers
*Check one LJ Fire Misc.
*Write in accurate count
*describe above
4
Applicant Information Name: Robert Anderson (FPS)
Address: 2810 E. Miraloma Ave.
Phone#: 714 635 6500 Email: robert@fireprotectionspecialists.co
Q Check if same as Contractor
Designer Information Name: Robert Anderson (FPS)
Address: 2810 E. Miraloma Ave. Anaheim CA 92806
Phone#: 714 635 6500 Email: robert@fireprotectionspecialists.co
0 Check if same as Contractor
Contractor Information Name: Fire Protection Specialists Inc. - Daniel Rambo
Address: 2810 E. Miraloma Ave. Anaheim CA 9280
Phone#: 714 635 6500 Email: dan@freprotectionspecialists.com
License#:464915 Class: C16
Office Use
Permit Plan Check Permit /Plan
Number • SZ Number Check Fee $