HomeMy WebLinkAboutF2021-0096 - Permit ApplicationWorksheet for Fire Permit Application ---
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as.a�ry , City of Newport Beach - Building Division •<}�� r7�
Please print 3 copies•,_ _r 161 pdil
Associated Building Permit# r; Fire Sprinkler r Fire Alarm/ ("•FireMisc
1. Project Address (Not mailing address) Suite No
FFltoo�orr
��— —�
5000 Birch Street I' I
Tenant Name 1st Floor Fitness Center # Units F.
2. Description of Work
Owner's E-mail Address
Use B / A-3
Install (2) strobes, (2) weatherproof strobes, and (6) speaker/strobes. Tie into all existing
devices.
Extg Sq Ft r New/Added Sq Ft �_.�_ Total Sq Ft 2836
Valuation$ 1000
New I— Add f— Alter Fr Demo
# Stories
Check Appropriate Box for Applicant/Notification
r 3. Owner's Name
Last John Hancock Real Estate
First
Owner's Address
Owner's E-mail Address
3161 Michelson Dr #410
City Irvine
State CA
Zip 92612 Telephone
r 4. ArchitectlDesigner's
Name Last Mendoza
FirstGaby Lic. No.I---j
Architect/Designer's Address
Architect/Designer's E-mail Address
1170 E Fruit St
gmendoza@firesafetyfirst. ccm
City Santa Ana
StateCA
Zip 92701 Telephone 7142632871
[ ! 5. Engineer's Name
Last Mendoza First Gaby Lic. No.l._— _
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 ,.,. Lic. No. 599761 Class C10/16/�
Contractor's Address
Contractor's E-mail Address
1170 E Fruit St
City Santa Ana
State CA
Zip 92701 Telephone(71ti8364800
OFFICE USE ONLY
0139
Or
PERMIT NO. �• Op"LAP
TYPE OF CONSTRUCTION
PLAN CHECK. NO.
OCCUPANCY - GROUP
PLAN CHECK FEE $