HomeMy WebLinkAboutF2022-0012 - Permit ApplicationPrint Form Worksheet for Fire Permit Application
City of Newport Beach - Building �Division
Please print 3 copies $�f,Q22, (/U 1 y ��� .TJ 01 5f
Associated Building Permit # F Fire Sprinkler r Fire Alarm j- Fire Misc
1. Project Address (Not mailing address) Floor Suite No
5000 Birch Street th oo_o
._.. _ .�I
_ _... # Units l` '
Tenant Name
2. Description of Wo
Fire SprinklerT.l.(49 !�
Use (B u
State F--
Zip � Telephoned
Extg Sq Ft,219 New/Added Sq Ft Total Sq Ft
Valuation $ 7,350.00
FirstF Lic. No.
# Stories 10
J__ New r Add R' Alter r Demo
Architect/Designer's E-mail Address
Check Appropriate Box for Applicant/Notification
F_ 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
City �...
State F--
Zip � Telephoned
r 4. Architect/Designer's Name Last
�—
FirstF Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City �-.. _ �
State
Zip F— Telephoned
r 5. Engineer's Name Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State r
Zip ��� Telephone�_.y�,
F6. Contractor's Name Last aekel _... First Steve Lic. No. 599761 Class C36,10,16...
Contractor's Address
Contractor's E-mail Address
1170 E. Fruit Street
sjaekel@firesafetyfirst.com
City Santa Ana
State CA
Zip 92701 Telephone714-329-7110
OFFICEUSEONLY
PERMIT NO. rzv?2— 0012
TYPE OF CONSTRUCTION
PLAN CHECK NO. W57_ �OZZ
OCCUPANCY - GROUP
PLAN CHECK FEE $
PZ076-6365 1%'75 -?Azo