HomeMy WebLinkAboutF2022-0496 - Permit ApplicationWorksheet for Building/Fire Permit Application Cit of `W'°"e
Y Newport Beach 6 z �
Building Department `aV�Z V 13 "it mailing address) +<"o„„,>
F�
Floor Suite No
aon Lot �`� �� ( o Roof
Blockr,�___,__,�... ..!
I Tract
option of Work #Units
end cap offexisting exteriorfire sprinkler piping
Use rg
Tenant Name if Commercial #St '
-- ories 10
New r Add - i Valuation $ f 100 i
r Alter Q Demo
for q
Check Appropriate Box Sq Ft (new/add/extended) 7 7S
pplicant/Notification Information
r 3. Owner's Name
Last John Hancock Life Insurance
Owner's Address -- -.-.. First��-..
5000 Birch Street Owner's E-mail Address
City Newport Beach -
--__ j State Cq -- j
ZAP 92660 Telephoned` --- i
4. Architect/Designer's Name Last
Architect/Designer's Address - Firsts
Lic. No.
--. _ Architect/Designer's E-mail Address -
City
-- _ I State --
Zip_'" _.
r 5. Engineer's Name Last
Engineer's Address --- -. - First—..'
Lic. No.
_ Engineer's E-mail Address
City _...
-- State' -__ _.... , Zip �__'-,...
G' 6. Contractor's Name Telephone
Last Fire Safety First ---
Contractor's Address --- First-`- rrr------�--------
'Lic. No. 599767 Class 1170 E. Fruit Street Contractor's E- 36�70'76'
--- mail Address i
City Santa Ana s/aekel@firesafetyfirst.com
State ICA j
ZAP 92701.. .Telephone 714_ - -....
OFFICE USE ONLY 329 711 p
TYPE OF CONSTRUCTION PERMIT NO.
OCCUPANCY -GROUP
PLAN CHECK NO.
PLAN CHECK FEE $ v 0
PLAN CHECK ENG.
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