HomeMy WebLinkAboutF2019-0233 - Permit Application0871-�D19
�1 Worksheet for Fire Permit Application
Print Form ��Q ��' 233 City of Newport Beach - Building Division �� d S
Please print 3 copies 2-W (Q /(�/ �y�✓ 3 °"°""
Associated Building Permit # Fx Fire Sprinkler F- Fire Alarm F- Fire isc
1. Project Address (Not mailing address) Floor Suite No
680 Newport Center Dr 2nd 200
Tenant Name Obsidian Securityy # Units �-
2. Description of Work
Use Office
Fire Sprinkler Tl -28 sprinklers
Valuation $ 2400
Extg Sq Ft F_New/Added Sq Ft F_Total Sq Ft �—
F- 4. Architect/Designer's Name Last First F Lic. No. F--
ArchitecUDesigner's Address
# Stories
r New r Add r Alter r Demo
State F— Zip F_
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name
Last The Irvine Co. First Fa
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 TelephoneFa
F- 4. Architect/Designer's Name Last First F Lic. No. F--
ArchitecUDesigner's Address
Architect/Designer's E-mail Address
city �—
State F— Zip F_
F- 5. Engineer's Name
Last �— First F_ Lic No. F_
Engineer's Address
Engineer's E-mail Address
City �
State r— Zip F_ 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
2810 E. Miraloma Averobert@fireprotectionspecialists.com
City Anaheim
State CA Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $