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HomeMy WebLinkAboutXC2022-1876 - Permit Application (3)Worksheet for Fire Permit Application 91"'.. Print Form City of Newport Beach -Building Division uPlease print 3 copies �On G�p�P Associated Building Permit # I_ �/y �� � Fire Sprinkler (— Fire Alarm F_ Fire Mi/scl� 1. Project Address (Not mailing address) Floor Suite No 4""ac Arthur Ct — 4th 400 Tenant Name Succession Capital Exp # Units �E 2. Description of Work Fire Sprinkler TI - 4 sprinklers Use Office Extg Sq Ft I---- New/Added Sq Ft ��-v- Total Sq Ft Valuation $ [1200 New f­ Add FX Alter (-` Demo #Stories Check Appropriate Box for Applicant/Notification I 3. Owner's Name Last The Irvine Co. First Owner's Address 101 Innovation Owner's E-mail Address City Irvine State CA Zip 92617 _ Telephone[ F— 4. Architect/Designer's Name Last I —_ First F-- Lic. No, Architect/Designer's Address Architect/Designer's E-mail Address r City I � State Zip � Telephone I-- 5. Engineer's Name Last I — First Lic. No. Engineer's Address Engineer's E-mail Address City State �— Zip Telephone F 6. Contractor's Name Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 464915 Class C-16 Contractor's Address 2810 E. Miraloma Ave _ Contractor's E-mail Address robert@fireprotectionspecialists.com City Anaheim v State FCA Zip 92806 Telephoner714-635-6500 OFFICE USE ONLY PERMIT NO. �ZdsZ ' 5S6 d�ro� TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP �G. ZJLZ tat � PLAN CHECK FEE $