HomeMy WebLinkAboutF2021-0494 - Permit ApplicationWorksheet or Fire Permit Application Print Form o 1,+ae
Please print 3 copies
City of N 'wport Beach - Building Division
SG2o x+
Associated Building Permit #
I rX Fire Sprinkler F_ Fire Alarm r' Fire Misc
1. Project Address (Not.: mailingaddress) ) Floor Suite No
620 Newport Center Dr 2th F
Tenant Name 12th Floor Restrooms # Units F
r
2. Description of Work
Fire Sprinkler TI - 4 spri nklers
Extg Sq Ft r— New/Added Sq Ft �y Total Sq Ft
r New F_ Add FX Alter F Demo
Check AnnronriatP RnY fnr enr.rr�..♦mt..�s: _.:__
Use ]Office
Valuation $ 1200
w
# Stories
F 3. Owner's Name
Last The Irvine Co.
First �—
Owner's Address
Owner's E-mail Address
101 Innovation
City Iry�Vine
State CA
Zip 92617 Telephone[�
F 4. Architect/Designer's
Name Last 7--
First F� Lic. No. F-
Architect/Designer's Address
Architect/Designees E-mail Address
city F
State F
Zip �— TelephoneF—
� 5. Engineer's Name
Last
First—
Lic No.
Engineer's Address
Engineer's E-mail Address
City F-
� State F--
Zip r-- TelephoneF—
f fi. Contractor's Name
Last Fire Protection Specialists, Inc First Robert Anderson Lic. No. 464915 Class F16
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
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $