HomeMy WebLinkAboutF2021-0355 - Permit ApplicationWorksheet for Fire Permit Application o� `W`°"e
Print Form City of Newport Beach - Building Division 1n
Please print 3 copies 6 4 V� 6j }�(/�(� `/ �I yr y Ct
Associated Building Permit # I x Fire Sprinkler r- Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
3rd 390
4685 MacArthur Ct
# Units F-
Tenant Name Armand Wilson
2. Description of Work
Use Office
Fire Sprinkler Tl - relocate (7) add (1) sprinkler
State CA Zip 92617 Telephone
Valuation $ 1400
Extg Sq Ft �— New/Added Sq Ft F_Total Sq Ft F—
�—
Architect/Designer's Address
# Stories F
r New Add rx- Alter (- Demo
City �—
Check Appropriate Box for Applicant/Notification
F- 3. Owners Name Last The Irvine Co. First
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 Telephone
F_ 4. Architect/Designer's Name Last
First �— Lic. No.
�—
Architect/Designer's Address
ArchitecUDesigner's E-mail Address
City �—
State Zip F— Telephone—
r 5. Engineer's Name Last
_ First F Lic. No.
F—
Engineer's Address
Engineer's E-mail Address
City
State F Zip �— Telephone��-
r 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�i/�-
�� l PERMIT NO. ` b
TYPE OF CONSTRUCTION
�`r �/^I/, ( PLAN CHECK NO. (011*2
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OCCUPANCY- GROUP
PLAN PLAN CHECK FEE $