HomeMy WebLinkAboutF2021-0238 - Permit Application., Print Form pp � ii111
Please print 3 copies Worksheet for Fire Permit A lic
' ' �
9JL City of Newport Beach -Building Division 5
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Associated Building Permit # I 7 Fire Sprinkler r Fire Alarm n Fire Misc
1
Address (Not mailing
Newport Center Dr
Tenant Name Mothers Room, Copy Storage
2. Description of Work
Fire Sprinkler TI - 2 sprinklers
Extg Sq Ft New/Added Sq Ft F777-' Total Sq Ft
r New r Add > r Alter r Demo
"•' "•` ^NM• WM• •a owr NJr P%wijuanu VOTITICBTion
Floor
1st
# Units
Use
Suite No
150
Valuation $ F0077
Pies
F7 3.Owner's Name
Last The Irvine Co. First
Owner's Address
Owner's E-mail Address
101 Innovation
City
State,, Zip 92617 Telephoner��
I
_ 4. Architect/Designees
Name Last F777777777 FirstLic. No.
Architect/Designer's Address
Architect/Desi 9 -
net's E-mailAddress
City
i State F_—I Zip Telephone
r_7,5. Engineer's Name
Last I First I
- — - -, Lic. No. F
Engineer's Address
Engineer's E-mail Address
City
----------
State ZIP Telephone[
r-6. Contractor's Name
Last Fire Protection Specialists, Inc!, First ert RobAnderson Lic. No. 464915 j Class C-16
Contractor's Address
Contractor's E-mail Address
2810 E. Miraloma Ave
- -
robert@fireprotectionspecialists.com
City Anaheim
State CA r��
P --
_ _ Zip 92806 Tele hone 714-635-6500 i
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $