HomeMy WebLinkAboutX2020-2020 - Permit ApplicationWorksheet for Fire Permit Application X ULD 2AX604W`°R
Rrht Forth ''• �/ City of Newport Beach - Building Division
Please print 3 copies
Associated Bari "ding Permit # [ Fire Sprinkler [ Fire Alarm [ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
5000 Birch St, Newport Beach, CA 92660 Roof �—
Tenant Name (949)254-1440 # Units
en
2. Description of Work
Replcement of Existing Emergency Genertor Use
------ - (Lt --- --
rValuation$
Extg Sq Ft Exit. to Remian' New/Added Sq Ft Exist to Remain i Total Sq Ft None_
F1 New [i Add Stories
, Alter j- Demo
#
Check Appropriate Box for Applicant/Notification
Information
F! 3. Owner's Name Last( �laniz� _ First ony - -
L_ ._.___-___ ^__-- -- IF
Owners Address Owner's E-mail Address
5000 Birch St, Newport Beach, CA 92660 _
onyJhancock.com !
p — .._ -cock - ..-------- - -- --- - -- --
City Newport Beach — State CA - Zip 92660 Telephone (949)254-1440
R 4. Architect/Designer's Name Last Esme ili _ -i First sghar Lic. No. M32123
Architect/Designer's Address Architect/Designer's E-mail Address
853 North Citrus Ave oscar@mep-inc.com
City Covina J State CA Zip 91723 _J Telephone (909)374-0578
Qi 5. Engineer's Name
nears Address
1853 North Citrus Ave
City Covina - _ -'. State CA ---
❑6. Contractor's Name Last
Contractor's Address
- --
City State - -
Firsts. j Lic No.
Engineer's E-mail Address �� - 2
oscar@mep-inc.com
Zip 17223 Telephone (909)374 0578
First Lic. No. �- Class
Zip I
Contractor's E-mail Address
OFFICE USE ONLY
YPE OF CONSTRUCTION
AEFr1l Ipnnicv - mini ID
PERMIT NO.
PLAN CHECK NO.