HomeMy WebLinkAboutF2021-0273 - Permit ApplicationPrint Form Worksheet for Fire Permit Application
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--- — City of Newport Beach - Building Division
Please print 3 copies 0� % 0( , ( — 021 � .<;,o„o>
Associated Building Permit #
Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
660 Newport Center Dr
9th
940
Tenant Name Flex Workspace 940
# Units
2. Description of Work
State CA Zip 92617 Telephone—
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Name Last First I Lic. No.
Fire Sprinkler TI - 8 sprinklers
Use Office
Architect/Designer's E-mail Address
Extg Sq Ft F— New/Added Sq Ft � Total Sq Ft F_
Valuation $
1400
Alter
r New Add#
Stories
r r � Demo
F_
Check Appropriate Box for Applicant/Notification
F_ 3.Owner's Name
Last The Irvine Co. First I
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 Telephone—
r 4. Architect/Designer's
Name Last First I Lic. No.
Architect/Designer's Address Address
Architect/Designer's E-mail Address
City I—
� State F_ Zip [— TelephoneF—
r 5. Engineer's Name
Last � First F_Lic. No.
F_
Engineers 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 Ave
robert@fireprotectionspecialists.com
City Anaheim
State CA Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
a ��/ PERMIT NO. It
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TYPE OF CONSTRUCTION PLAN CHECK NO.
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OCCUPANCY- GROUP
r)( G VI°” PLAN CHECK FEE $