HomeMy WebLinkAboutF2021-0516 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
610 Newport Center Dr
Tenant Name Pacific Edge Advisors
2. Description of Work
Fire Sprinkler TI -1 sprinkler
Extg Sq Ft F__ New/Added Sq Ft F
New Add 15X_ Alter F_ Demo
r Fire Sprinkler r Fire Alarm r Fire Misc
Check Appropriate Box for Applicant/Notification
Floor Suite No
8th 830
# Units
Use lOffice
Valuation $ 1050
Total Sq Ft
# Stories
3. Owner's Name
Last ,The Irvine Co.
First
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA
Zip 92617 Telephone
— 4. Architect/Designer's
Name Last
First F_ Lic. No. �—
Architect/Designers Address
Architect/Designees E-mail Address
City
State F
Zip F_ Telephoned
r 5. Engineer's Name
Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_
Zip F_ Telephoned_
— 6. Contractor's Name
Last Fire Protection Specialists, Inc Firs64915 t Robert Anderson Lic. No. 4Class 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. �S I
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $