HomeMy WebLinkAboutF2022-0007 - Permit Application20� 0607
Worksheet for Fire Permit Application @'PEWCity of Newport Beach - Building DivisionPlease print 3 copies
Associated Building Permit# I Fire Sprinkler [I Fire Alarm C Fire Misc
1. Project Address (Not mailing address) Floor Suite No
5000 Birch St I- �.—�...
Tenant Name 8th Floor Common Area # Units
2. Description of Work
Use IB _4
Install (5) strobes and (4) speaker/strobes. Tie into all existing devices.
State CA Zip 92612 ) Telephone
Extg Sq Ft New/Added Sq Ft j Total Sq Ft 1817 _-
Valuation $ 1000
Architect/Designer's Address
# Stories f .�
New Add Alter
�, rJ r Demo
gmendoza@firesafetyfirst.com
Check Appropriate Box for Applicant/Notification
r; 3. Owner's Name
Last ancock Real Estate First --- 7
John H '
Owner's Address
Owner's E-mail Address
3161 Michelson Dr #410
City Irvine
State CA Zip 92612 ) Telephone
F– 4. Architect/Designer's
Name Last Mendoza First Gaby Lic. No.I
Architect/Designer's Address
Architect/Designer's E-mail Address
1170E Fruit St
gmendoza@firesafetyfirst.com
City Santa Ana
State CA Zi 92701 Telephone 7142632871
r 5. Engineer's Name
Last Mendoza I FirstGaby Lic. No.
Engineer's Address
Engineer's E-mail Address
1170 E Fruit StI
Igmendoza@firesafetyfirst.com
City Santa Ana
State CA Zip 92701 Telephone 7142632871
r 6. Contractor's Name
Last Fire Safety First First Lic. No. 599761 Class F10/16/#',
Contractor's Address
Contractor's E-mail Address
1170 E Fruit Stgmendoza@firesafetyfirst.com
_
City Santa Ana
_
!II State GA J Zip 92701 Telephone 7148364800
OFFICE USE ONLY A 1 ,9L / � PERMIT NO. -
TYPE OF 2 �r
CONSTRUCTION � � �
OCCUPANCYGROUP
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PAN CHECK FEE $