HomeMy WebLinkAboutX2021-0029 - Permit Application (2)Pririt`Fiar'115 ,
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division OF
�Zo20- baZq
FX_ Fire Sprinkler r Fire Alarm I- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
500 Newport Center Dr 8th
Tenant Name 18th Floor Restrooms # Units F
2. Description of Work
Owner's E-mail Address
Use Office
Fire Sprinkler Tl 4sprinklers
__.. __... __.
Extg Sq Ft New/Added Sq Ft Total Sq Ft
Valuation $
F New F_ Add jXj Alter F Demo
# Stories I
Check Appropriate Box for Applicant/Notification
F 3. Owner's Name
Last The Irvine Co.
First
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA....
Zip 92617 Telephone
( 4. Architect/Designer's
Name Last F_
First F_ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City F�
...State F—
ZiP ... Telephone _...
F 5. Engineer's Name
Last
First Lic. No. f.—...-..-....._
Engineer's Address
Engineer's E-mail Address
City F
State I—�
ZIP Telephone
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 AnaheimState
CA
ZIP 92806 Telephone 714-635-6 00
OFF/CE USE ONLY
PERMIT NO. 1 . 00fa
TYPE OF CONSTRUCTION
PLAN CHECK NO. IZ®-L
OCCUPANCY- GROUP
PLAN CHECK FEE $