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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
.OZO • Do," V-2020
X.A 161 4p921 Fx Fire Sprinkler F- Fire Alarm
01061
F- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
800 Newport Center Drive 1st 150
Tenant Name Pacific Life # Units F
2. Description of Work
Use
Relocate/Change 16 sprinkler heads.
City Newport Beach
Valuation S 2300
Extg Sq Ft F New/Added Sq Ft F— Total Sq Ft F--
Name Last First F Uc. NoT—
Architect/Designees Address
# Stories
� New (— Add FX Alter r Demo
Telephone
State F Zip[ r
Check Appropriate Box for Applicant/Notification
F- 3. Owner's Name
Last Pacific Life Insurance Company First
Owner's Address
Owners E-mail Address
700 Newport Center Drive
City Newport Beach
State CA Zip 92660 Telephone
F— 4. ArchitecUDesignees
Name Last First F Uc. NoT—
Architect/Designees Address
Architect/Designers E-mail Address
City _..
Telephone
State F Zip[ r
r5. Engineer's Name
Last I First LicNo. F—
Engineers Address
Engineers E-mail Address
City I
State F Zip F— Telephoned
Fx 6. Contractor's Name
Last Fire Protection Specialists First F Uc No. 464915 Class C-16
Contractors Address
Contractors E-mail Address
2810 E. Miraloma Ave.
asavoy@fireprotecfionspecialists.com
City Anaheim
State CA Zip 92806 Telephone 714-625 6500
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO. D411 -'AU
OCCUPANCY- GROUP
PLAN CHECK FEE $