HomeMy WebLinkAboutF2021-0324 - Permit ApplicationWorksheet for Fire Permit Application
Print Form
City of Newport Beach - Building Division �I U3Z '
y x
Please print 3 copies cU oA a
Associated Building Permit # �— rXFire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
4695 MacArthur Ct 4th 450
Tenant Name Sullivan Law & Assoc. # Units
2. Description of Work
101 Innovation
Fire Sprinkler TI -12 sprinklers
Use Office
__. -------- ----------- -- . .--_...---
Extg Sq Ft New/Added Sq Ft �— Total Sq Ft ��!
Valuation $ I�16�0"0'`
° --
r Newr Add rX Alter r- Demo
#Stories C�
Check Appropriate Box for Applicant/Notification
Information
F_, 3. Owner's Name Last The Irvine Co. First
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine i
State CA Zip 92617 Telephone[
r4.Architect/Designer'sName Last
U..... First C/9G Lic.No.
�—
Arc hitect/Designer's Address
Ar chitsct/Design is E-mail Address
City
State I Zip r — Telephone—,
F_ S. Engineer's Name Last I
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City �—
State Zip �— Telephonel�
r-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
2M10 E. Miraloma Ave
robert@fireprotectionspecialists.com
City Anaheim
State CA Zip 92806 Telephone714_635-6500
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. UJ P
OCCUPANCY- GROUP
PLAN CHECK FEE $—
`�ir�