HomeMy WebLinkAboutF2019-0433 - Permit Application'F Dtq - 0H33
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Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division 0
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r FireSprinider j- Fire Alarm l- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
4675 MacArthur Court F— F
8th Floor Restrooms Reimaging # Units r
Tenant Name
2. Description of Work
Use Office
Fire Sprinldern -7 sprinklers
State CA Zip F92617 Telephone
Valuation $ 1700
Extg Sq Ft F New/Added Sq Ft F—Tofal Sq Fl
Architect/Designers Address
ArchitectlDesigners E-mail Address
#Stories )5
F- New r Add {- Alter F -Demo
F- 5. Engineer's Name
Check Appropriate Box for Applicant/Notification
F- 3.Owners Name
Last The Irvine Co. FirstF—
Owners Address
Owners E-mail Address
101 Innovation
City Irvine
State CA Zip F92617 Telephone
F- 4. Architect/Designers
--
Name Last First F- Ur- No.
Architect/Designers Address
ArchitectlDesigners E-mail Address
City
State �— Zip F Telephone[
F- 5. Engineer's Name
Last First [— Lic No.
Engineers Address
Engineers E-mail Address
City
State F— Zip F— Telephoned
F- 6. Contractors Name
Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 464915 Class C-16
Contractors Address
Contractors E-mail Address
2810 E. Miraloma Ave
tubert@fireprotectionspecialists.com
City Anaheim
State CA Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
r PERMIT NO.
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TYPE OF CONSTRUCTION /� q'I--% PLAN CHECK NO.
OCCUPANCY - GROUP
D /J G)(f\ PLAN CHECK FEE $