HomeMy WebLinkAboutX2021-0707 - Permit ApplicationRrmt Fbm °,% Worksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit#
1. Project Address (Not
5000 Birch St
mailing address)
(7 Fire Sprinkler Fire Alarm r Fire Misc
Tenant Name 4th Floor Common Area , I
- 111✓✓✓
2. Description of Work
;tall (5) strobes and (4) speaker/strobes. Tie into all existing devices.
Extg Sq Ft�': New/Added $q Ft � �' Total Sq Ft 1,897
r New rl Add ( Alter F7 Demo
Check Appropriate Box for Applicant/Notification
�
Floor Suite No
I'
7 F-
# Units
Use F
Valuation $ 00
# Stories
F- 3. Owner's NameLastJohn
Hancock Real Estate — First
Owner's Address
Owner's E-mail Address
3161 Michelson Dr#410
City Irvine
-...--------
State CA Zip .92612 Telephoned.
F- 4. Architect/Designer's
Name Last Mendoza First Gaby Lic. No. -,
Architect/Designer's Address
Architect/Designer's E-mail Address
1170 E Fruit St
gmendoza@firesafetyfirst.com
City Santa Ana
State CA Zip 92701 Telephone 7142632871
(- 5. Engineer's Name
LastMendoza First Gaby
- --- Lic.No, r
Engineer's Address
_
Engineer's E-mail Address
1170 E Fruit St
gmendoza@firesafetyfirst.com
City Santa Ana !State CA J Zip 92701 Telephone 7142632871
- — --
- -
r 6. Contractor's Name
Last Fire Safety First First �Lic. No. 599761 Class 0/16/f
_ C1—
Contractor's Address
Contractor's E-mail Address
1170 E Fruit St
_ J gmendoza@firesafetyfirst.com
City I - Santa Ana
CA Zi
State p 92701 Telephone 7148364800
`j,A O1 IJ 0 PERMIT NO.
\l
FOFFICEUSEONLY
F CONSTRUCTION
PLAN CHECK NO.ANCY
-GROUP
v ii� PLAN CHECK FEE $