HomeMy WebLinkAboutF2022-0302 - Permit Applicationr�da�_ p3ba
Print Form Worksheet for Fire Permit Application
-- City of Newport Beach - Building Division
Please print 3 copies oa
Associated Building Permit# (J �j '�0Z'=Z r Fire Sprinkler f— Fire Alarm r Fire Misc
1. Project Address (Not mailin
1301 Dove St
Tenant Name Spec Suite 970 (1301 Dove)
2. Description of Work
Fire Sprinkler T -16 sprinklers
Extg Sq Ft F_ New/Added Sq Ft F_ Total Sq Ft F_
r New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
9th 970
# Units Fv
Use Office
Valuation $ 1300
# Stories
r 3. Owner's Name
Last 1301 Dove Owner LLC / Ocean W First
Owner's Address
Owner's E-mail Address
2101 Rosecrans #3270
City El Segundo
State CA
Zip 80245 Telephone
r 4. Architect/Designees
Name Last
First Lic. No.
F
Architect/Designer's Address
Architect/Designees E-mail Address
City I
State F_—
Zip F— Telephoner
r 5. Engineer's Name
Last �—
First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City I
State F_
Zip F— Telephone—
r 6. Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 464g15 class C-16
Contractor's Address
Contractor's E-mail Address
2810 E. Miraloma Ave
robert@fireprotectionspecialists.com
CAnaheim
State
Zip2806 Telephone 714-635-6500
OFFICE USE ONLY �/ PERMIT NO.
t IMI
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
92
U�ijf PLAN CHECK FEE $