HomeMy WebLinkAboutF2023-0155 - Permit ApplicationPrint Form
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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
23 rt'03�
r Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
800 Newport Center Dr.
Tenant Name Pacific Life (Orange Box)
2. Description of Work
Fire Sprinkler T1- 1 sprinkler
Extg Sq Ft F— New/Added Sq Ft
F New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Total Sq Ft F_
Floor Suite No
2nd
# Units
Use Office
Valuation $ 1050
# Stories
f 3. Owner's Name
Last The Irvine Co. FirstF
Owners Address
Owners E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 Telephone
F_ 4. Architect/Designer's
Name Last First— Lic. No.
Architect/Designer s Address
Architect/Designer's E-mail Address
City
State I Zip F_ Telephoned
F 5. Engineer's Name
Last First I Lic. No.
Engineer's Address
Engineers E-mail Address
City
State F— Zip F— Telephone
r 6. Contractor's Name
Last Fire Protection Specialists, Inc Firs[ 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. �_ -�XZ3 ` G 155
TYPE OF CONSTRUCTION PLAN CHECK NO. PC— 0 Z 3- 0737
OCCUPANCY - GROUP
PLAN CHECK FEE $