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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division z
FX Fire Sprinkler r Fire Alarm F- Fire Misc
1. Project Address (Not mailing address)
1660 Newport Center Dr.
Tenant Name uite 700
2. Description of Work
Fire SprinklerTl - (1) sprinklers
Extg Sq Ft New/Added Sq Ft Total Sq Ft F—
r New F- Add r Alter F- Demo
t,neCK Appropriate box for Applicant/Notification
Floor Suite No
7th 700
# Units
Use Office
Valuation $ 105o
# Stories F
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 TelephoneF
I— 4. Architect/Designer's
Name Last
FirstF Lic. No.
Architect/Designer's Address
ArchitectIDesigner's E-mail Address
City
State F—
Zip �— Telephone[—
r 5. Engineer's Name
Last F
First F_ Lic No. F_
Engineer's Address
Engineer's E-mail Address
City
State F—
Zip [_ Telephoned
F 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
PERMITNO. FZ02-4 Z9/0
TYPE OF CONSTRUCTION
PLAN CHECK NO. PGZrst y — IO'iD
OCCUPANCY - GROUP
PLAN CHECK FEE $