HomeMy WebLinkAboutF2019-0117 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application `WP�gm \
City of Newport Beach - Building Division 0 q jq -20IQ
P00-01/7 MN'
X Fire Sprinkler r Fire Alarm r Fire Mi(c X
1. Project Address (Not mailing address)
Floor
Suite No
4685 Mac Arthur Ct.
4th
City Irvine
# Units
F
Tenant Name 4th Floor Restrooms
Architect/Designer's E-mail Address
City �
2. Description ork
F- 5. Engineer's Name
Last First F_,_ Lic. No. F—
Use Office
Engineer's E-mail Address
ff;prinkler Ti 4sp inklers
State I Zip F® TelephoneF_
Valuation $
1200
Extg Sq Ft F— New/Added Sq Ft F Total Sq Ft �—
Contractor's E-mail Address
-
robert@fireprotectionspecialists.com
# Stories
F- New r Add FX -Alter j- Demo
OFFICE USE ONLY�
Ze LX PERMIT NO.
Check Appropriate Box for Applicant/Notification
F- 3. Owner's Name
Last The Irvine Co. First I
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 Telephones
r 4. Architect/Designees Name Last First F Lic. No. �—
Architect/Designer's Address
Architect/Designer's E-mail Address
City �
State F__ Zip F_ Telephoned
F- 5. Engineer's Name
Last First F_,_ Lic. No. F—
Engineer's Address
Engineer's E-mail Address
City �
State I Zip F® TelephoneF_
F- 6. Contractor's Name
Last Fire Protection Specialists, Inc FirstRobert 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�
Ze LX PERMIT NO.
fG
TYPE OF CONSTRUCTION X 2 PLAN CHECK NO.
OCCUPANCY- GROUP"
•t�' PLAN CHECK FEE $