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Associated Building Permit #
Worksheet for Fire Permit Application ���WP°"
City of Newport Beach - Building Division 1F.2019,-0230
..20 9, AA//O/{]t 9 6
r ZiJ1 ��O^�O G</F00.a'P
r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
610 Newport Center Dr �T,41 P
# Units F
Tenant Name 6th Floor Restrooms
2. Description of Work
Use Office
City Irvine
Fire Sprinkler Tl - 5 sprinklers
(-- 4. Architect/Designees Name Last � �C ✓� First ] Lic. No. F—
°E-mail
Architect0esigner's Address
Valuation $ 1250
Extg Sq Ft �— New/Added Sq FtTotal Total Sq Ft
State I Zip F Telephone
i" 5. Engineer's Name
# Stories 18
r– New r Add rX Alter j Demo
Engineer's E-mail Address
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name
Last The Irvine Co. �, First
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 Telephone—
(-- 4. Architect/Designees Name Last � �C ✓� First ] Lic. No. F—
°E-mail
Architect0esigner's Address
Architect/Designers Address
City �—
State I Zip F Telephone
i" 5. Engineer's Name
Last First �i Lic. No. F—
Engineer's Address
Engineer's E-mail Address
City �—
State F Zip F Telephoned
r 6. Contractor's Name
Last Fire Protection Specialists, Inc First FRobert 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 Telephone 714-635-6500
OFFICE USE ONLY
PZZ-
PERMIT NO. t✓ " i
TYPE OF CONSTRUCTION PLAN CHECK NO. °
OCCUPANCY- GROUP
PLAN CHECK FEE $