HomeMy WebLinkAboutF2022-0495 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
D-70 F— Fire Sprinkler r Fire Alarm r" Fire Misc
1. Project Address (Not mailing address) Floor Suite No
5000 Birch 5t ROOF F
Tenant Name Sprint Evolution (West Tower Roof) # Units F
2. Description of Work
_
Use B
Scope of work due to removal of Sprint Tower located on Roof of West Tower. Demo (1)
Smoke Detector. Demo (1) Speaker Device. Demo (1) Existing Waterflow and Tamper Switch.
Valuation $
Extg Sq Ft F— New/Added Sq Ft F— Total Sq Ft
_500
# Stories F
r New r Add r Alter (X Demo
Check Appropriate Box for Applicant/Notification
InfnrmnCi n
r 3. Owner's Name
Last John Hancock Real Estate
—
FirstF
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
1170 E Fruit St
gmendoza@firesafetyfirst.com
City Santa Ana
State CA
Zip 92701 Telephone 7142632871
r 5. Engineer's Name
Last Mendoza
First Gaby Lic No.�
Engineer's Address
Engineer's E-mail Address
1170 E Fruit St
gmendoza@firesafetyfrst.com
City Santa Ana
State CA
Zip 92701 Telephone 7142632871
F_6. Contractor's Name
Last Fire Safety First
First Lic. No. 599761
Class C10/16/b
Contractor's Address
Contractor's E-mail Address
1170 E Fruit St
gmendoza@firesafetyfirst.com
City Santa Ana
State CA
Zip 92701 Telephone 7148364800
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO. PC121-2 Z36 D
OCCUPANCY -GROUP
��2 — pLANCHECK FEE $