HomeMy WebLinkAboutF2018-0569 - Permit Application (2)Print Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
�f`} /� City of Newport Beach - Building Division
/ •//� W
X14t,31bj )C Fire Sprinkler r Fire Alarm Fire Misc
U
1. Project Address (Not mailing address) Floor Suite No
23 Corporate Plaza Iz 280
I
Tenant Name Premier Business Center # Units F
2. Description of Work
Use Office
Fire SprinklerTl -10 sprinklers
EMg Sq Ft F_ New/Added Sq Ft F_ Total Sq Ft
Valuation $ 150o
# Stories
New F- Add
r (K Alter r Demo
Check Appropriate Box for Applicant/Notification
7 3. Owner's Name
Last The Irvine Co. First F_
Owner's Address
Owner's E-mail Address
101 Innovation #200
City Irvine
State CA Zip 92617 Telephone
F_ 4. Architect/Designer's
Name Last First F_ Lic. No. �v
ArchitecttDesigner's Address
Architect/Designer's E-mail Address
City
State F— Zip F_ Telephoned
r 5. Engineer's Name
Last First F Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State F_ Zip F_ Telephoned
r 6. Contractor's Name
Las[ 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 Telephone 714-635-6500
OFFICE USE ONLY
PERMIT NO. F U I $ • 015(oal
TYPE OF CONSTRUCTION PLAN CHECK NO. 2g AI'm
OCCUPANCY - GROUP
Yr1.01 �� PLAN CHECK FEE $