HomeMy WebLinkAboutF2021-0502 - Permit Applicatione `'EW"ogy,
Worksheet for Fire Permit Application
Print Form o, r '�
City of Newport Beach - Building Division �/d�
Please print 3 copies G<� N �
Associated Building Permit # F rX_ Fire Sprinkler r Fire Alarm i- Fire Misc
1. Project Address (Not mailing address)
450 Newport Center Dr
Tenant Name IVilla
2. Description of Work
Fire Sprinkler TI - 3 sprinklers
Extg Sq Ft I New/Added Sq Ft F— Total Sq Ft
F_ New r Add rX_ Alter r Demo
Check Appropriate Box for Applicant/Notification
�.-
Floor
Suite No
1st
100
# Units
Use Office
Valuation $ 1150
# Stories F
r 3. Owner's Name
Last The Irvine Co. First—''
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 TelephoneF
(_,A JircgitecUDesigner's
Name Last- L First L Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �— Zip �— TelephoneF_
F_ 5. Engineer's Name
�---
Last First— Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F_ Telephone-
r 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@fireprotectionspecielists.com
City Anaheim
State CA Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION — PLAN CHECK NO. 2
OCCUPANCY - GROUP
PLAN CHECK FEE $ - ��