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 $