HomeMy WebLinkAboutF2022-0049 - Permit ApplicationPrint Form
Please print 3 copies
Associated Building Permit#
=fW PpRT
Worlcsheet for Fire Permit Application �,
City of Newport Beach - Building Division "q
F_ Fire Sprinkler r Fire Alarm i— Fire Misc
1. Project Address (Not mailing address)
5000 Birch St
Tenant Name Panel Replacement � qo q`*t
2. Description of Work 231 iiikw
REPLACEMENT OF EXISTING FCI FIRE PANEL WITH NEW EDWARDS EST-3 PANEL. REPLACE
EXISTING INITIATING DEVICES FOR COMPATIBILITY WITH NEW EDWARDS PANEL. INITIATING
DEVICES TO REMAIN IN EXISTING LOCATIONS. ALL NOTIFICATION DEVICES, EXPANDER PANELS,
AND TERMINAL CABINETS ARE EXISTING TO REMAIN.
Extg Sq Ft F— New/Added Sq Ft F— Total Sq Ft
r New I— Add (X Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
ALL �—
# Units r
Use B 1
Valuation
# Stories
j— 3. Owner's Name
Last John Hancock Real Estate
First F—
Owner's Address
Owner's E-mail Address
3161 Michelson Dr#410
City Irvine
State CA
Zip 92612 Telephone
I— 4. Architect/Designer's Name Last Mendoza First Gaby Lic. No.
Arch itect/Desig Per's Address
Architect/Designers E-mail Address
1170E Fruit St
gmendoza@firesafetyfirst.com
City
Cit Santa Ana
�.
State CA
p � p �.
Zip 92701 Telephone 7142632871
F_ 5. Engineer's Name
Last Mendoza
First rGaby Lic. No.
Engineer's Address
Engineer's E-mail Address
1170 E Fruit St
gmendoza@firesafetyfirst.com
City Santa Ana
State CA
Zip 92701 Telephone 7142632871
6. Contractor's Name
Last Fire Safety First
First F_ Lic No. 599761 Class C70/16/6
Contractor's Address
Contractors E-mail Address
1170 E Fruit St
gmendoza@firesafetyfirst.com
City Santa Ana
State CA
Zip 92701 Telephone F148364800
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $