HomeMy WebLinkAboutF2022-0355 - Permit ApplicationPrint Form
Please print 3 copies
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1A rare �pnn i 1 nre marm I Tire misc
1. Project Address (Not mailing address) Floor Suite No
888 San Clemente Drive V , 2nd 1250
Tenant Name New York Llfe \� D # Units r----
2. Description of Work
Fire SprinklerTI - 58 sprinklers Use Office
Extg Sq Ft F_ NewlAdded Sq Ft F—Valuation $ 3900 Total Sq Ft �—
r New r Add [X— Alter F- Demo # Stories F
%.nectc Appropriate tiox for Applicant/Notification
r 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 Telephone
r- 4. Architect/Designees
Name Last First F— Lic. No. I
ArchitectlDesigner's Address
Architect/Designer's E-mail Address
City �—
State F_
Zip Telephone
r 5. Engineer's Name
Last F
First ��—Lic. No.
Engineer's Address
Engineer's E-mail Address
City �—
State �—
Zip F_ Telephone—
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
2810 E. Miraloma Ave
robert@fireprotectionspecialists.com
City Anaheim
State CA
Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
PERMIT NO. 91,0=. r 12Z,
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $