HomeMy WebLinkAboutF2020-0353 - Permit ApplicationWorksheet for Fire Permit Application
' =Fnnt;Fgrrn: City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit# [ii Fire Sprinkler (-1 Fire Alarm r, Fire Misc
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1. Project Address (Not mailing address) Floor Suite No
620 Newport Center Dr 10th
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Tenant Name 10th Floor Restrooms # Units—,!,
2. Description of Work
Use Office
Fire Sprinkler TI -4 sprinklers
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Extg Sq ' Ft New/Added Sq Ft ,Total Sq Ft
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Valuation $ 1200
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# Stories 16
New f, Add FX Alter F- Demo
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Check Appropriate Box for ApplicanUNotification
) 3. Owner's Name
Last The Irvine Co.___ First F777 77
Owner's Address
Owner's E-mail Address
101 Innovation
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City Irvine
State CA Zip 92617 - Telephoned
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4. Architect/Designees
Name Last First F Lic. No.
Architect/Designer's Address
Architect/Designees E-mail Address
City
State F— Zip [—,Telephone F
5. Engineer's Name
Last ; First Lic. No.
Engineer's Address
Engineer's E-mail Address
City
- State �— Zip F Telephone
6. Contractor's Name
Last Flre Protection Specialists, Ino
p 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
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State CA Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
��A&4 ('L5 --PERMIT NO. Z1)
TYPE OF CONSTRUCTION 4rIq3 PLAN, CHECK NO. q�jlot9 ��
OCCUPANCY - GROUP
Ua �' 6' ( ,, /j PLAN CHECK FEE $