HomeMy WebLinkAboutF2023-0566 - Permit ApplicationPrint Form !>�111o�rksheet for Fire Permit Application
�f1 ""?� City of Nau ort Beach -Building Division
Please print 3 copies
Associated Building Permit # �Tn Ze � �� (� Fire Sprinkler r Fire Alarm r Fire Misc
1. Project Address (Not mailing address)
5000 perch Street
Tenant Name -71" floor corridor and Fe'swoom Upgrade
2. Description of Work
Ae ScoVt of wO(K lrtCludes +ne rt.tocation of -I ZXt5"l) {i5t SprinKirs heads
dcc io h-ew wait and licjnl locahoris.
Extg Sq Ft F New/Added Sq Ft
Total Sq Ft I l,'i tol sq. fi.
UW
�Fll000r Suite No
I
#Units F—
Use I 6- GfbLe
Valuation $ F0000
# Stories o
r New r" Add Alter r Demo
Check Appropriate Box for AppIicantlNotification
r 3.Owner's Name Last Reyna
First FZ(
Owner's Address
Owner's E-mail Address
5000 BifCh Meet, SkAK 120
City N¢W fo(S beaCh State
GF
Zip ct2Lefoo Telephone lb) 39q - vuls
r 4. ArchitectlDesigner's Name Last
First Lic.
No. �—
Architect/Designer's Address
ArchitectlDesigner's E-mail Address
City State
F
Zip F Telephone—
r 5. Engineer's Name Last
First Lic. No.
Engineer's Address
Engineers E-mail Address
City State
I—
Zip F__ Telephoner
6. Contractor's Name Last Johnsion
First John Lic. No. (,L44R3
Class C 16
Contractors Address
Contractor's E-mail Address
119 VNMar V2oad. Sur- M
john@allpfofimmc.corn
City fie_- tcle. State
CA
Zip qua Telephone (qsl) 264.3R12
OFFICE USE ONLY
PERMIT NO. • 0
�Zh
TYPE OF CONSTRUCTION
PLAN CHECK N C�3
-
OCCUPANCY - GROUP
PLAN CHECK FEE $