Loading...
HomeMy WebLinkAboutF2022-0290 - Permit ApplicationPnnt Form Please print 3 copies Associated Building Permit # 1. Project Address 5000 Birch St Worksheet for Fire Permit Application City of Newport Beach - Building Division X�/Z - QG��� ❑ Fire Sprinkler l� Fire Alarm ❑Fire Misc Tenant Name Spec Suite 9600 (West Tower) 2. Description of Work Install (2) strobes and (1) speaker/strobe. Tie-in to all existing devices. Extg Sq Ft F1 New/Added Sq Ft Total Sq Ft 1444 - F_: New F Add [7] Alter ❑ Demo Check Appropriate Box for AppI!cant/Notification ��--F--l000rr Suite No 19 I 9600,-,- J I# Ulnits l- Use Valuation $ 1000 # Stories F 3. Owner's Name Last John Hancock Real Estate _—i First �! Owner's Address Owner's E-mail Address 3161 Michelson Dr#410 City Irvine State F77 Zip 92612 Telephoned 4. Architect/Designer's Name Last Mendoza i First Gaby Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address 1170 E it St gmendoza@firesafetyfirst.com City Santa Ana State CA Zip 92701 Telephone 7142632871 ❑ 5. Engineer's Name Last Mendoza First Faby Lic. No. Engineer's Address Engineer's E-mail Address 1170 E Fruit St gmendoza@firesafetyfirst.com City IS Ana State CA Zip 92701 — Telephone 7142632871 6. Contractor's Name Last Fire Safety First - I'�I First Lic. No. 599761 Class FLOO6/j Contractor's Address Contractor's E-mail Address 1170 E Fruit St gmendoza@firesafetyfirst.com _ J City Santa Ana — — State CA Zip 92701 Telephone 7148364800 OFFICE USE ONLY PERMIT NO. '<00Z-e///r1' QZ�Z U r Z TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP PLAN CHECK FEE $