HomeMy WebLinkAboutF2023-0189 - Permit ApplicationWorksheet for Fire Permit Application
Print Form � City of Newport Beach -Building Division � � 'jm�
Please print 3 copies 4 oa '
Associated Building Permit # MillililMnIder r Fire Alarm j- Fire Misc
1. Project Address (Not mailinl
I4675 MacArthur Ct
Tenant Name Dahn Corporation
2. Description of Work
Fire Sprinkler TI - 20 sprinklers
Extg Sq Ft 7- New/Added Sq Ft F_
Total Sq Ft
r New F- Add r Alter i- Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
14th 1400
# Units
Use Office
Valuation $ 2,000
# Stories
F 3. Owner's Name
Last The Irvine Co. FirstF
Owner's Address
Owner's E-mail Address
101 Innovation
City Irvine
State CA Zip 92617 Telephone
i- 4. Arch itect/Designer's
Name Last First �— Lic. No. F
Architect/Designer's Address
Architect/Designees E-mail Address
City I
State F_ Zip 7— Telephoner
i- 5. Engineer's Name
Last FirstF Lic. No.
Engineers Address
Engineer's E-mail Address
City
State F— Zip F— TelephoneF—
F 6. Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 464915 Class C-16
Contractor's Address
Contractors 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. ti MII
TYPE OF CONSTRUCTION PLAN CHECK NO. I022-
OCCUPANCY - GROUP
�' PLAN CHECK FEE $