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 $