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Associated Building Permit # I
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
14675 MacArthur Ct
Tenant Name Flex Workspace 550
2. Description of Work
Fire Sprinkler TI - 30 sprinklers
Extg Scl Ft I New/Added Scl Ft
New j Add CK Alter F_ Demo
fK Fire Sprinkler f! Fire Alarm r— Fire Misc
Check Appropriate Box for Applicant/Notification
Total Scl Ft
Floor Suite No
Sth 550
# Units—m
Use Office
Valuation $ 2500
#Stories C6
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 Telephone[
r 4. Architect/Designer's Name Last
First F— Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City F_ State
I
Zip F Telephone
r 5. Engineer's Name Last
First F_ Lic. No.
Engineer's Address
Engineers E-mail Address
City � State
F_
Zip F_ TelephoneF_;
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@fireprotectionspecialists.com
City Anaheim State
CA
Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
PERMIT NO. FZOL •
TYPE OF CONSTRUCTION —
PLAN CHECK NO. N2423• 2031
OCCUPANCY- GROUP
PLAN CHECK FEE $