HomeMy WebLinkAboutF2022-0390 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
1. Project Address
Newport Center Or
Tenant Name I Evolus
2. Description of Work
Fire Sprinkler TI - 5 sprinklers
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
FX Fire Sprinkler F- Fire Alarm r Fire Misc
Extg Sq Ft r� New/Added Sq Ft F—
Total Sq Ft
r New F Add (X Alter
j— Demo
Check Appropriate Box for ApplicantlNotification
r 3. Owner's Name Last The Irvine Co.
First
Owner's Address
101 Innovation Owner's E-mail Address
Floor Suite No
12th 1200
# Units F
Use Office
Valuation $ 1250
# Stories
City Irvine State CA Zi 92617
P Telephone—
r 4. Architect/Designer's Name Last FF First F— Lic. No.
--
ArchitecUDesigner's Address
ArchitecUDesigner's E-mail Address
City State [—
ZIP r— Telephoner
r 5. Engineer's Name Last F-
First Lic. No, F
Engineer's Address
Engineer's E-mail Address
City F — State r —
Zip [_ TelephoneF�
r 6. Contractor's Name Last Fire Protection Specialists, Inc First rRobert Anderson Lic. No. 464915 Class C-16
Contractor's Address
E. Miraloma Ave Contractor's E-mail Address
2810
_ robert@fireprotectionspecialists.com
City Anaheim v State CA ZIP92806 Telephone 714-635-6500
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $