HomeMy WebLinkAboutF2023-0116 - Permit ApplicationWorksheet for Fire Permit Application 6— orEW��
Print Form City of Newport Beach - Building Division �a�
3- 0 � G
Please print 3 copies `+��roa�`'
Associated Building Permit# F, Fire Sprinkler i— Fire Alarm i— Fire Misc
1. Project Address (Not mailing address)
5000 Birch Street
Tenant Name th FI. East Common Corridor Elevator Lobby and Re;
2. Description of Work
Fire Sprinkler TI (20) heads
Extg Sq Ft 1,784 _ New/Added Sq Ft F Total Sq Ft 1784
i— New ii Add F Alter I— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
th
# Units
Use 113
Valuation $ 5,00.00
# Stories I6
F_ 3. Owner's Name Last Hancock Real Estate Services First Fohn
Owner's Address
Owner's E-mail Address
3161 Michelson Drive
City Irvine
State CA Zip 92612 Telephone
F_ 4. Architect/Designer's Name Last
First Lic. No. F
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F Zip Telephoned—
F_ 5. Engineer's Name Last
First Lic No.l
Engineer's Address
Engineer's E-mail Address
City _
State-' Zip Telephone
PZ 6. Contractor's Name Last aekel First Steve Lic. No. 599761 Class C36, 10, If
Contractor's Address
Contractor's E-mail Address
1170 E Fruit Street
jaekel@f resafetyfirst.com
City Santa Ana
701
State CA Zip 92Telephone 714-836-4800
OFFICE USE ONLY
j� PERMIT NO. b
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TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
f✓!J n�j •L'li j� PLAN CHECK FEE $