HomeMy WebLinkAboutF2021-0031 - Permit ApplicationPrint Form Worksheet for Fire Permit Application
Please print 3 copies City of Newport Beach - Building Division p
4
Associated Building Permit # [X Fire Sprinkler P (— Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
Floor Suite No
23 Corporate Plaza 4th 230
Tenant Name FWS - 200, 230 & 246 # Units r-
2. Description of Work
Fire SprinklerTl -6 sprinklers Use Office
Extg Sq Ft F--- New/Added Sq Ft F— Total Sq Ft r-- Valuation $ 1300
I— New r Add r Alter F Demo # Stories I
Check Appropriate Box for ApplicanVNotification
F 3. Owner's Name Last The Irvine Co. First F—
Owner's Address
Owner's E-mail Address
101 Innovation
City (Irvine State CA Zip 92617 Telephoner—
r— 4. ArchitecUDesigner's Name Last First �—
Lic. NoArchit. �—
----ect/Designer's Address Architect/Designees E-mail Address
city State �— ZIP [_ Telephoner---
F 5. Engineer's Name Last I First F--
Lic. No. �—
Engineer's Address
Engineers E-mail Address
City State r-- Zip F_------
Telephone)
F 6. Contractor's Name Last (Fire Protection Specialists, Inc First Robert Anderson Lic. No. 464915 Class C-16
Contractors Address Contractor's E-mail Address
2810 E. Miraloma Ave rt robe@fireprotectionspecialists.com
City (Anaheim State CA Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
PERMIT NO. r W V 1 — W J
PLAN CHECK NO. I) — ? _Q) 1
PLAN CHECK FEE $