HomeMy WebLinkAboutF2022-0088 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division /
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FX Fire Sprinkler F- Fire Alarm F- Fire Misc
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1. Project Address (Not mailing address) Floor Suite No
CP?? 2nd 248
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Tenant Name RSG Underwriting # Units F
2. Description of Work
Use Office
Fire Sprinkler Tl - 3 sprinklers
Extg Sq Ft [_New/Added Sq Ft [_Total Sq Ft
Valuation $ 1150
F_ 4. ArchitectiDesigner's Name Last First I Lic. No.
# Stories
F_New r Add rX Alter F` Demo
State F_ Zip [m -V TelephoneF_
Check Appropriate Box for Applicant/Notification
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F 3. Owner's Name
Last The Irvine Co. First F
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 TelephoneF
F_ 4. ArchitectiDesigner's Name Last First I Lic. No.
Architect(Designer's Address Architect/Designer's E-mail Address
City �
State F_ Zip [m -V TelephoneF_
F- S. Engineer's Name
Last l First I Lic. No. F_
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F- Telephoned
F- 6. Contractor's Name
Last Fire Protection Specialists, Inc FirstRobert 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
22,I�j� �rl„q� yl PERMIT NO. F202a�-0009
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TYPE OF CONSTRUCTION j7 PLAN CHECK NO. D'f
OCCUPANCY- GROUP
21Z`7 ZU2 j PLAN CHECK FEE $