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HomeMy WebLinkAboutF2021-0589 - Permit ApplicationPrint Form Please print 3 copies Associated Building Permit # Worksheet for Fire Permit Application City of Newport Beach - Building Division F202(-05q?C1 Fire Sprinkler r` Fire Alarm r Fire Misc U06 1. Project Address (Not mailing address) leof Suite No 4000 MacArthur Blvd 9F 900 Tenant Name 4000 MacArthur 9th/10th # Units 1 2. Description ork 30 Hudson Street AMY.HIGUCHI@HINES.COM Use Once Fire Sprinkler T A -- sprinkle Preaction sprinkler syste -y 2 s rinklers Name Last First Lic. No. F Extg Sq Ft I� New/Added Sq Ft F—Total Sq Ft �— Valuation $ 7,000 City � Stories 10 New r Add# r Alter r' Demo Last First F, Lic. No. Check Appropriate Box for Applicant/Notification Inf~rm Nnn F_ 3. Owner's Name Last Hines First Owner's Address Owner's E-mail Address 30 Hudson Street AMY.HIGUCHI@HINES.COM City Jersey City State NJ Zip 07302 Telephone (949) 313-2212 F_ 4. Architect/Designer's Name Last First Lic. No. F Architect/Designees Address Architect/Designer's E-mail Address City � State F_ Zip Telephone— r 5. Engineer's Name Last First F, Lic. No. Engineer's Address Engineer's E-mail Address City �—� State Fi Zip F Telephone 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 2810 E. Miraloma Ave robert@fireprotectionspecialists.com City Anaheim State CA Zip 92806 Telephone714-635-6500 OFFICE USE ONLY ✓ ��`PERMIT NO. TYPE OF CONSTRUCTION Q) &) PLAN CHECK NO. (1 OCCUPANCY -GROUP C PLAN CHECK FEE $