HomeMy WebLinkAboutX2021-2884 - Permit ApplicationWorksheet for Fire Permit Application °i4AK
Print Form City of Newport Beach - Building Division 1
Please print 3 copies 11IN60, 02 s t4
Assodated Building Permit # �'®% GHQ Z�GG rX Fire Sprinkler r Fire Alarm` r Fire Misc
1. Project Address (Not mailing addre:
500 Newport Center Dr. 1
Tenant Name Corient
2. Description of Work
rare sprmldertenant improvement, 5 sprinklers
Extg Sq Ft F New/Added Sq Ft F Total Sq Ft
[_ New (— Add Fx— Alter j— Demo
check Appropriate Box for Applicant/Notification
F�loor— Suite No
# Units .
Use
Valuation $ $2,500.00
# Stories
F_ 3. Owner's Name Last IThe
Irvine Co. First
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 2617 Telephone—
r 4. Architect/Designees Name
Last I First �— Lic. No.
Architect/Designees Address
Architect/Designer's E-mail Address
City �—
State Zip F _ Telephoned
r— 5. Engineer's Name Last
� First F_ Lic. No.
Engineer's Address
Engineer's E-mail Address
City F_
State F— Zip F— Telephoners
r 6. Contractor's Name Last Fire Protection Specialists, Inc First Dan Rambo Lic. No. k64915 Class C-16
Contractor's Address
Contractor's E-mail Address
2810 E. Miraloma Ave
dan@fireprotectionspecialists.com
City naheim
State CA Zip 92806 Telephone 714-635-6500
OFFICE USE ONLY
PERMIT NO.
UV6% ��
TYPE OF CONSTRUCTION
T
i) PLAN CHECK NO. s
L C / l
OCCUPANCY - GROUP
PLAN CHECK FEE $