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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
r Fire Sprinkler F_ Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
4695 MacArthur Ct
Tenant Name Simpson Gumpertz & Heger
2. Description of Work
Fire SprinklerTI - (6) sprinklers
Extg Sq Ft F— New/Added Sq Ft I
F- New F Add FX Alter F_ Demo
Check Appropriate Box for Applicant/Notification
Total Sq Ft F_
Floor Suite No
Sth 500
# Units I —
Use (Office
Valuation $ 1300
# Stories t
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 Telephone
f 4. Architect/Designer's
Name Last
FirstF Lic. No. F
Architect/Designer's Address
Architect/Designees E-mail Address
City �-_
State F_
Zip F— Telephone
(— 5. Engineer's Name
Last �
First F— 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. 464 915 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. F26Zy -y1 13
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $