HomeMy WebLinkAboutF2021-0421 - Permit ApplicationWorksheet for Fire Permit Application
Print Form City of Newport Beach - Building Div%�
Division Z
Please print 3 copies r2o z i - 04,z u
Associated Building Permit # 2D L� 2 S 2 Z FX_ Fire Sprinkler F_ Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address)
500 Newport Center Dr
Tenant Name 6th Floor Restrooms
2. Description of Work
Fire SprinklerTI - 4 sprinklers
EMg Sq Ft F— New/Added Sq Ft F_ Total Sq Ft
r New r Add FX_ Alter r Demo
Check Appropriate Box for ApplicantlNotification
Floor Suite No
6th
# Units �—
Use Office
Valuation $ 1200
# Stories 1
F 3. Owner's Name
Last The Irvine Co.
First 7
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA
Zip 92617 Telephone
r 4. Architect/Designees
Name Last First [_ Lic. No. �—
Architect(Designer's Address
Architect/Designer's E-mail Address
City
State F—
Zip F Telephone—
F 5. Engineer's Name
r
Last i
First �— Lic No. —
Engineer's Address
Engineer's E-mail Address
City
State F
Zip F Telephone[—
F 6. 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. 20 L 1-pt I n
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $
Print Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division G
r Fire Sprinkler r Fire Alarm i— Fire Misc
1. Project Address (Not mailing address)
500 Newport Center Dr
Tenant Name 6th Floor Restrooms
2. Description of Work
Fire Sprinkler TI - 4 sprinklers
EMg Sq Ft F New/Added Sq Ft �— Total Sq Ft F_
F- New r Add IX Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
6th F
# Units
Use loffice
Valuation $ 1200
# Stories F
r 3. Owner's Name
Last The Irvine Co. First F_
Owners Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 Telephone
r 4. Architect/Designees
Name Last First F— Lic. No. F—
ArchitecUDesigners Address
Architect/Designers E-mail Address
City I
State 7— ZipF Telephone
r 5. Engineer's Name
Last First F— Lic. No.
Engineers Address
Engineers E-mail Address
City
State F_ Zip F Telephoned
r 6. Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 464915 Class C-16
Contractors Address
Contractors 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. F DL/
TYPE OF CONSTRUCTION PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $
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