HomeMy WebLinkAboutF2019-0150 - Permit ApplicationWorksheet for Fire Permit Application O6422019 v-
Please
¢WroPrint FormCity of Newport Beach - Building Division R21 - 0/ 5n print 3 copies
Associated Building Permit #
X24�f R , 010-7 Fx- Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2nd �—
4685 Mac Arthur Ct.
# Units F
Tenant Name 2nd Floor Restrooms
2. Description of Work
Use Office
Fire Sprinkler Tl -4 sprinklers
State CA Zip 92617 Telephone—
Valuation $ 1200
Extg Sq Ft F_ New/Added Sq Ft F Total Sq Ft �—
�— First F Lic. No. r—
Architect/Designer's Address
# Stories
(- New (- Add r Alter j- Demo
V
Check Appropriate Box for Applicant/Notification
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. r—
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.
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. 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 ONLYCb
T-1 .2A9 PERMIT NO.
TYPE OF CONSTRUCTION
((✓✓ j PLAN CHECK NO.
OCCUPANCY- GROUP
lv �� /G�� PLAN CHECK FEE $