HomeMy WebLinkAboutF2022-0611 - Permit Application_ Print Form
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Worksheet for Fire Permit Application o q`W"°Re
City of Newport Beach - Building Division
Associated Building Permit #
r Fire Sprinkler F Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
F_ 100
4041 MacArthur Blvd
Tenant Name Hoag Newport Beach # Units
2. Description of Work
Change out plastic pipe to steel on 3" mains & 1 1/4" branch lines
Use
Add approximately 60 fire sprinkler heads in newt -bar ceiling
Valuation $ 9,800
Extg Sq Ft F— New/Added Sq Ft F_— Total Sq Ft 4,000
# Stories F
F New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name
Last FDuChateau
E
First Jeff
Owner's Address
Owner's E-mail Address
AG Redstone, c/o LPC West Inc - Ste 250
jduchateau@lpc.com
City Newport Beach
State CA Zip 92660 Telephone 949-799-3430
r 4. Architect/Designer's Name Last Ford
First Jeremy Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
jeremytford@aol.wm
City
State �— Zip
Telephone 714-403-0800
i— 5. Engineer's Name
Last F___
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City �
State I Zip
F Telephoned
FX-6. Contractor's Name
Last Franssen
First Loren Lic. No. 1044673 Class C16
Contractor's Address
Contractor's E-mail Address
360 E 1 st St. #297
Loren@PFSSoCal.com
City Tustin
State CA Zip
92780 Telephone 714-39r6�-7548
OFFICE USE ONLY
PERMIT NO. r�"U'. Owl
�r1
TYPE OF CONSTRUCTION Y �` �
PLAN CHECK NO. 10101'2' • 3211
OCCUPANCY - GROUP
PLAN CHECK FEE $