HomeMy WebLinkAboutXC2023-0126 - Permit ApplicationWorksheet for Fire Permit Application
tnt Form_ -I City of Newport Beach - Building Division pease print 3 copies �f aA�,p GPM—) ( "
Associated Building Permit # I FX- Fire Sprinkler r- Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
500 Newport Center Dr 4th
Tenant Name ank of America # Units
2. Description of Work
Use Office
Fire SprinklerTI- (11)sprinklers
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Valuation 5 1550
Extg Sq Ft F_ New/Added Sq FtF Total Sq Ft
# Stories F
New
i` r Add � Alter r Demo
Check Appropriate Box for Applicant/Notification
In rmmfinn
F 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—
F_ 4. Architect/Designer's
Name Last First Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City
State F_ Zip F_ TelephoneF_
F 5. Engineer's Name
Last First Lic. No. F—
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F Telephoned
F 6. Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 46 5 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.
TYPE OF CONSTRUCTION PLAN CHECK NO. ,� ��" Z-4Olj
OCCUPANCY - GROUP
PLAN CHECK FEE $