HomeMy WebLinkAboutF2019-0537 - Permit ApplicationWorksheet for Fire Permit Application
Print Form ",'', City of Newport Beach - Building Division
21lease print 3 copies F20 h � , 9
Associated Building Permit # rX_j Fire Sprinkler r Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
500 Newport Center Dr 7th F i --,
Tenant Name 7th Floor Restrooms # Units F
Y#
-4
Extg Sq Ft F New/Added Sq Ft Total Sq Ft F®
F_ New r Add r', Alter i Demo
Check Appropriate Box for Applicant/Notification
Use Office
Valuation $ 1200
# Stories
r 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
(—' D signer's Name Last First F _- Lic. No.
Architect/Design'
Architect/Designer's E-mail Address
City
� State F_ Zip [— Telephoned
r 5. Engineer's Name
Last fyj��i"xC�U First 11' Lic. No.
Engineer's Address
Engineer's E-mail Address
�,,,,// // j
city T ��✓/
(Name
State Zip C� •� � f" Telephone
6. Contractor's
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 CAZip 92806 Telephone 714-635-6500
ncrrrc ncc nnu v
PERMIT NO.
TYPE OF CONSTRUCTION PLAN CHECK NO. l
OCCUPANCY- GROUP PLAN CHECK FEE $