HomeMy WebLinkAboutF2019-0407 - Permit ApplicationWorksheet for Fire Permit Application
PnOt,Form '" 'PD
� City of Newport Beach - Building Division
'lease print 3 copies '/tet/ ft —0101
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Associated Building Permit # r, Fire Sprinkler Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
4695 MacArthur Court 1st
Tenant Name 1 st. Floor Restrooms #Units F
2. Description of Work
Fire Sprinkler TI -4 sprinklers Use Restrooms
Extg Sq Ft 386 New/Added Sq Ft Total Sq Ft Valuation $ 1200
# Stories 15
New r Add r Alter r Demo
Check Appropriate Box for Applicant/Notification
Inform -tion
r 3. Owner's Name
Last The Irvine Co.
First F_
Owner's Address
Owners E-mail Address
101 innovation
city Irvine
State CA
Zip 92617 Telephone
r 4. Architect/Designer's
Name Last
First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City I
State F_
Zip I Telephone F_
F_ 5. Engineer's Name
Last
i First F_ Lic No. l
!
Engineer's Address
Engineer's E-mail Address
City
State F
Zip F TelephoneF_
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
`. PERMIT NO. FtArl
TYPE OF CONSTRUCTION ' %�� /
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S� PLAN CHECK NO.
OCCUPANCY- GROUP
Y
PLAN CHECK FEE $