HomeMy WebLinkAboutF2021-0237 - Permit Application„� Print F.,tirm `��
Worksheet for Fire Permit Application
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Lr -1p - City of Newport Beach - Building Division ' ' p
Please print 3 copies
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Associated Building Permit # rj Fire Sprinkler F7 Fire Alarm
__. r7 Fire Misc
roject Address (I
Newport Center Dr
Tenant Name Suite 400 Offices
2. Description of Work
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Extg Sq Ft F777-7 New/Added Sq Ft F_ --'i Total Sq Ft
1-111 New FJ Add ri Alter F' Demo
Check Appropriate Box for Applicant/Notification
Floor
St
Use Office
Suite No
400
# Units F-7
Valuation $ 1050
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# Stories 16
r 3. Owner's Name Last The Irvine First
Owners Address Owner's E-mail Address
101 Innovation
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City Irvme State CA Zip 92617 Tele hone
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Name Last No.
Architect/Designers Address Architect/Designees
E-mail Address Lic.
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City State ZIP Telephoned,
rl S. Engineer's Name Last IFirst Lic. No. .
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Engineer's Address
Engineers E-mail Address
CityState �—
-- -_ ZIP Telephoned
6. Contractor's Name
Last Fire Protection Specialists, Ind First Robert Anderson Lic. No. 464915 Class C-16
Contractors Address
2810 E. Miraloma Ave
City Anaheim State CA
OFF/CE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY GROUP
Contractor's E-mail Address
robert@fireprotectionspecialists.com
Zip 92806 Telephone 714 635-6500 ��
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PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $