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HomeMy WebLinkAboutF2022-0068 - Permit ApplicationC� Worksheet for Fire Permit Application U% -\ Print Form City of Newport Beach -Building Division le>wS/VZCJ Please print 3 copies F202.1 -CM �/) � Associated Building Permit # r Fire Sprinkler r Fire Alarm Fire Misc 1. Project Address (Not mailing address) Floor Suite No 4695 MacArthur Ct 4th 420 Tenant Name Flex Workspace 420 # Units F 2. Description of Work Use Office Fire Sprinkler Tl - 2 sprinklers Valuation $ 1100 Extg Sq Ft F_ New/Added Sq Ft Total Sq Ft r City Irvine -Alter # Stories r New r"" Add FX (- Demo Name Last -- Check Appropriate Box for Applicant/Notification IMF/MMf{/M F_ 3. Owner's Name Last The Irvine Co. First F Owner's Address Owner's E-mail Address 101 Innovation City Irvine StateCA Zip 92617 Telephone— r 4. Architect/Designees Name Last -- First F- Lic. No. F Architect/Designer's Address Architect/Designer's E-mail Address City State F_— Zip Telephoned [- 5. Engineer's Name Last First F Lic. No. Engineer's Address Engineer's E-mail Address City State F_ Zip F— Telephonel� 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 Anaheim State CA Zip 92806 Telephone714-635-6500 OFFICE USE ONLY PERMITNO. �Z02Z-C>OG� TYPE OF CONSTRUCTION PLAN CHECK NO. 0 3L' ('26ZZ 1 OCCUPANCY- GROUP�L.O PLAN CHECK FEE $ -L-1 42 - 2021