HomeMy WebLinkAboutF2021-0065 - Permit Applicationt,ts" Worksheet for Fire Permit Application 911-mv.
City of Newport Beach - Building Division FZOZ 1 — �U
Please print 3 copies
Associated Building Permit # Fire Sprinkler rX`i Fire Alarm
Fire Misc
1. Project Address (Not mailing address) Floor Suite No
5000 Birch Street
First 120
Tenant Name Pour Vida # Units
2. Description of Work
Install (6) strobes and (8) speaker/strobes. Provide point of connection to (1) ansul hood Use B A-2
system. Tie into all existing devices.
Extg Sq Ft ' New/Added Sq Ft �� Total Sq Ft ,886 Valuation $ 1000
f.7 New r`! Add r Alter ( Demo # Stories F
Check Appropriate Box for Applicant/Notification
r 3. Owner's NameLast IJohn Hancock Real Estate First r
Owner's Address Owner's E-mail Address
3161 Michelson Dr#410
CityIrvine State CA Zip 92612 Telephone[—
ri 4. Architect/Designer's Name
Last Mendoza First Gaby
Architect/Designer's Address
1170 E Fruit St
City Isanta Ana State CA
Architect/Designer's E-mail Address
igmendoza@flresafetyfirst.com
Zip 92701 Telephone 7142632871
Lic. No.
r 15. Ens Name Last Mendoza First Gaby Lic. No. r..._�-.,-
Engineer's Address Engineer's E-mail Address I
1170 E Fruit St gmendoza@firesafetyfirst.com
City Santa Ana State ZIP 92701
P Telephone 7142632871
6. Contractor's Name Last Fire Safety First'
Y First Lic. No. 599761 Class C70/16/36,
Contractor's Address Contractor's E-mail Address
1170 E Fruit St
City Santa Ana State CA Zip 92701 TelephoneF118364809
OFFICE USE ONLY PERMIT NO. r ZO'Zl — 0a G5
TYPE OF CONSTRUCTION PLAN CHECK NO. U371a L 1
OCCUPANCY - GROUP �� �� `� PLAN CHECK FEE $