HomeMy WebLinkAboutF2018-0453 - Permit ApplicationWorksheet for Fire Permit Application �H�Wm
Print Form City of Newport Beach - Building Division E
Please print 3 copies '�% oR�''
Associated Building Permit#
r Fire Sprinkler F- Fire Alarm F- Fire Misc
1. Project Address (Not mailing address)
Floor
Suite No
620 Newport Center Dr.
15
1500
Greystar
# Units
Tenant Name
2. Description of Work
Fire SprinkelrTl -73 sprinklers
Use Offce
Valuation $ FExtg
Sq Ft I New/Added Sq FtTotal Tolal Sq Ft
It Stories
F_New F_Add iX Alter r Demo
Check Appropriate Box for Applicant/Notification
I ni..�4*.."
F- 3. Owner's Name
Last The Irvine Comany
First (
Owner's Address
Owner's E-mail Address
101 Innovation #200
City Irvine
State CA
Zip 92617 Telephone
F- 4. Architect/Designer's
Name Last
First F Lic. No.
F
Architect/Designer's Address
Architect/Designer's E-mail Address
City
Slate F-
Zip F_ TelephoneF_
F- 5. Engineer's Name
Last
First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City I
State I—
Zip F_ Telephone
r (i. Contractor's Name
Last Fire Protection Specialists, Inc First 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. i 7 �, 0,
Cf S Z
`
TYPE OF CONSTRUCTION
PLAN CHECK NO. /
OCCUPANCY- GROUP
PLAN CHECK FEE $