HomeMy WebLinkAboutF2022-0451 - Permit Application_ Print Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application oil
City of Newport Beach - Building Division /
r Fire Sprinkler r Fire Alarm (— Fire Misc
1. Project Address (Not mailing address)
4675 MacArthurCt
Tenant Name Epic Insurance
2. Description of Work
Fire Sprinkler TI - 26 sprinklers
Extg Sq Ft I New/Added Sq Ft I Total Sq Ft
r- New r— Add rX Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
7th 750
# Units
Use Office
Valuation $ 2300
# Stories
r 3. Owner's Name
Last The Irvine Co. First F—
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 Telephoner —
r 4. Architect/Designer's
Name Last First F Lic. No. F�
Architect/Designer's Address
Architect/Designees E-mail Address
City �—
State F_ Zip F— Telephoned
F 5. Engineer's Name
Last � First I-_-- Lic. No. �� V
Engineer's Address
Engineer's E-mail Address
City �—
State F_— Zip r— TelephoneF_
r 6. Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson Lie. 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
PERMIT NO. �Y''_�
a
m'��1A
TYPE OF CONSTRUCTION
PLAN CHECK NO.s �Zy 211
OCCUPANCY- GROUP
T�x 2-1 - uotO ! oZOVL PLAN CHECK FEE $