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FIRE_TEMPORARY_PERMITS
CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 1 FAX (949) 644-3250 Application for TEMPORARY PERMIT TO OPERATE CANDLES & OPEN FLAMES IN ASSEMBLY AREAS COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES THIS FIRE -PERMIT HAS BEEN APPROVED BY: DATE: Name: J Business Name: A71auva-0-VOCIA Address: AZ 7E Contact Name: Email: Contact Phone: 5u Contact Phone: Event Name: tit and slminm uWAIno Event Address:vAri Tow q Qm Event Date: 12- 6 Event Time: � : No of Attendees: 2 SPECIAL EVENT PERMIT •- • ❑ Candles & Open Flames in Assembly Areas Quantity of candles 10 ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure approved conditions are followed. SPECIAL EVENT FEES 46.00 - Candles (includes first time and special event) BUILDING ADMINISTRATION ❑ Special Conditions of Permit Apply, **(See conditions below and attached photograph) Invoice No: FS5400 Revenue Account: 01040402-521210 [2330-5054] Until 613012016 Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September22, 2015. Note: Effective Temporary Permits to Operate Candles and Open Flames in Assembly Areas are not transferable. If business is sold, or if quantities or processes change, anew permit is required Special Conditions: ** All wicks must be cut low. Water level 3 inches from top of all vase / containers All vases / containers must be secured on flat surfaces with double back tape or glue F.lLifeSafetyServiceslFonns✓Application for candles- Special Event (08.04.2016) - - _ - • Iin, Fes/-�/� .,y'/� ' ../.,"•' . •" , ' : �i r^_ .6. -,-. __ - _ :Il���s: .;'�.. _ �tj' •.. _ .'lift '�:•. S- .-" -Ale l lr - {'-�5# - ...a�x�x`a:,:s.::+r^n-:.,.�w, 'fir; �.:,,M,`�:,,:,.,irn..a,xerN*;•,isi,`"wsce'':'_ .,'s+�:,b'',.�r:;,.. "'_' ;.. _ _ _ - - - f:""'�`"`s: gip''" k,. `i+�c:: �,�. r=:,.,"a:,°� a.w.y�;,.,..,p��"' "A"`."°�'="• ;�4 it ` a _ - _ - . _ ; k-'�w�'��i:' h ' f, _ _ _ 77, ALL WICKS MUST BE CUT LOW ....."..... ................................... l,.......... ........... , ... WATER LEVEL 3" FROM TOP OF ALL VASESICONTAINERS ALL VASES/CONTAINERS. MUST BE SECURED ON FLAT SURFACE WITH DOUBLE BACK TAPE OR GLUE 8 City of Newport Beach Revenue 100 Civic Center Dr. Newport Beach, CA 92669 949-644-3141 Welcome 000410-0001 Tracy S. 08/04/2016 12:57PM MISCELLANEOUS FDP007 FIRE PERMIT INSPECTN FEES 2017 Item: FDP007 1 @ 46.00 FDP007 FIRE PERMIT INSPECTN FEES 46.00 -------------- 46.00 Subtotal 46.00 Total 46.00 CREDIT CARD 46.00 5411 -------------- Change due 0.00 Paid by: gunsalus Signature: Thank you for your payment City of Newport Beach COPY APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPOR{' BEACH FIRE DEPARTMENT LIFE SAFETY SERVICES DIVISION DATE���� o�►� 1�.. 7Busines!sme: Applicant Name:f L1, Address: 0 Email: Email: Zod O 14 ri Contact Name: Contact Nam : AAAA` Fj wrck% Event Name: AM A 0 0 14 L L0N f IIIZ715914 IM)y El. Event Address: �� -1600 ,j� C L3 Event Date: 6 Event Time: 7 30 No of Attendees SPECIAL EVENT PERMIT INFORMATION (A site plan is required for all permits,•t candle permits. Fee appliesto each individualr below) ❑ Tents and Membrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure No. Number of Tent Walls No. Location of Exits (include size, type, etc.) No. Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tanks) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. andles & Open Flames in Assembly Areas Quantity of candles �.:1 ► angements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES 46.00 - Candles (includes first time and special event) ❑ $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 -Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION ONLY ❑ Special Conditions of Permit Apply, '(See Attached) Invoice No: FS5400 Customer No: �ul Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. PV ifeSafetyServicesIForms/Application for Temp Permit- Special Event (09-22-15) Mum CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 1 FAX (949) 644-3250 Application for TEMPORARY PERMIT TO OPERATE CANDLES & OPEN FLAMES IN ASSEMBLY AREAS COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES THIS FIRE PERMIT HAS BEEN APPROVED BY: D 9• y. /6 Business Name: Applicant Name: S V Address: Address: ! 4 n Contact Name: Email: (� t l (� ahDo . thM Email: Contact Phone: �� V Contact Phone: Event Name: Event Address: {�C/ Event Date: p'' Event Time: ?6 No of Attendees: SPECIAL EVENT PERMIT INFORMATION ❑ Candles & Open Flames in Assembly Areas Quantity of candles 106 ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure approved conditions are followed. SPECIAL EVENT FEES Candles (includes first time and special event) BUILDING ADMINISTRATION ONLY ❑ Special Conditions of Permit Apply, **(See conditions below and attached photograph) Invoice No: FS5400 Revenue Account. 01040402-521210 [2330-5054] Until 613012016 Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Temporary Permits to Operate Candles and Open Flames in Assembly Areas are not transferable. If business is sold, or if quantities or processes change, a new permit is required. Special Conditions: ** All wicks must be cut low. Water level 3 inches from top of all vase / containers All vases / containers must be secured on flat surfaces with double back tape or glue F.V ifeSafetyServiceslFonns/Application for candles- Special Event (08.04.2016) lo\_ _ % VkVks S©��pR'O CITY OF NEWPORT BEACH �FA's� C0NUW1JNM DEVELOPMENT DEPARTIRWPF 100 Civic Center Drive I P.O. Box 1768 I Newport Beach, CA 921 www.newportheachca.gov I (949) 644-3200 j FAX (949) 644-3 Application for TEMPORARY PERMIT TO OPERATE CANDLES & OPEN FLAMES IN ASSEMBLY AREAS THIS BY: LIFE `> r' s' r�' '" a9:� g �` • -ESx"�i�a � �.�,: - i iaa'1 's3'-." ,,�,_�+�`:- " � • k,,''�. F-' {:;t',}�'LV�'i- ^ `,y ' . �y l �y i'o'• Y+s F' '�3, �' t � y'L•,- v�d�� g �� . �'i." fl���b���} ���wfi� �S.�N ��?� ..� ry � � "2 'ry�-i b"�•'�'b�-_y^y-s�.;R �~ - �".'•��� i-'�:�� Business Name: Applicant Name: Address: Address: I 90 Contact Name: W;r Email: w� t Q0 • G�rYI ARW Email: Contact Phone: (� rb. Ile 0 �•1�-lam Contact Phone: - .+-aT."..:..y":Z'.�:n':s''" 'l� �Y��, .s�'>a„y5_".+n' ✓?v �` _ x •E4-''Z.v s "_^.. a;Y-'3S�'�9.�-3.. p•�'�^..y 2n ��.•�awq,L�'`.`*aF 3.t: 7%.�•^ta<z • _ His ">. Swtii'Y 'Y ��J .iF� _���.."._.4„+5��'%yw;.3iK`v3"."�eyeR-'v..'�.n_.:ae°#w7`��#druuic-•C���`o�`r��.�5.3'>.-S.�st7n�w--+x`�.;�-i�"�'3�5,: �eiai. _.. s .'�� .�s�sS. Event Event Name: NMI MUM Event Address: , (�• Event Date: `� �,�j — p Event Time: No of Attendees, 3+r •`�"".,�„-u--�`�3'� _ c>t"F "'�+�'es'y.�"`- .'n � & � #+' �,?"' :��; R�._���Y"ai '.-rx __ '�.��'� =» Yr ��' n.��_" ,.4 `;a`,"`�Y� "-.�s`.7. _- - as='��h ,,''�#tti-. •.,y �s�� K^� :��''�=.,.�`3����'�s� - R�'-�- .� �" '":. £,'- _' a. 3•;'- -s j a-: x''i.y.•--•��,.-Ec_Ti:'°� �,y+.,q%g7'lc°�`""""'F +F '� �.`• �� s�;s.��w� .._ .�:�, ��.'" �-'^�-�'. .-��a,.�:'�'�a`�''' 9 .I ve :-h�.. ?�yi �6� •k�_ _ ..1. e-� �� L.. & Open Flames in Assembly Areas Quantity of candles 100 ❑ Candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure approved co[dtions are followed y_g-�si. '{,4y�3r'-�i..r�_^re-s��...��^+"C=G�_n'S F�RXi. ���y��viyr_+,,,��'4`�.•:56. `ai �' ::v".LySs- �. _ry fKS� ..��� _ _�'fia� ' '�4:3-ti�..�i^ -. r�_;.s"fc`X$�% ^���ra�`s. ` 2.�`.'O� ��n�w"«G.c . _ �:.�+-a'ii���=w�=�:" m.`�e.�t� v.}.+.zs...-_ � ✓a._-+.€.. $46.00 - Candies (includes first time and spedal event) o �M ima�ig'^'33-`•%ae�"3x'.Y�'��'-,x,yts�.==-3`.'i,.YS.2�'_._`''.i.",'"n+2i'aaTr✓'a1''-."_G_z Pill �k.%...`<'^>5:a'+_ Y.i... iS ❑ Special Conditions of Permit Apply, (See conditions below and atfached photograph) Invoice No: Revenue Account: 01040402-521210 [2330-50541 Unt/l 613012016 Rates changed per new Master Fee Schedule adopted dy Kesotuuon no. ZU70-10 on *Gpremver cf' cv7 0. Note: Effective Temporary Permits to Operate Candles and Open Flames in Assembly Areas are not transferable, ff business is said, or if quantities or processes change, a new permit is required. Special Conditions: "xi; ,.ea }) 'r � �,�',,>,' . �•'"��'• 4�• .. _ . _ z .. _ ., _ -� r '�`3`'° .. K w. 1 "a x-.. ... .-� � � a �'Y'� 1�t;3� ::? � .� F.iLireSaf4SendcwlFonns(Applicadon for Candies- Speclal Event (07.22-2016) ALL WICKS MUST # CUT LOW WATER & ALL Re FROM TOPS ALL CONTAINERS Age pmg% MUST BE SECURED FLMURFACEWITH DO"IDo TAPE/GLUE OR MUSEUM WAX APPROVAL t� � ���� py?� ¥/§� 0 At�o \ & K IDN , us APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644.3120 NEWPOR't' BEACH FIRE WARTMEN!` LJFEAAFEW16ERV1=0A4SIW +� •" j • '' ' •• • • Business Name:` F �!�� cl( Applicant Name; L Phone: 7 '"�a �'� t� Address: Email: �(k �,�` L��1'1 Email: Contact Name: �'�� �� ( �►Z? Contact Name: EVENT •• • Event Name: t cu s EventAddress: Event Date: Event Time: j,,, No of Attendees : 10 SPECIAL EVENT,PERMIT •. • required(A site plan is below) ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Bdts (include size, type, etc.) so -.Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No S -ddny' signs ► Diagram for interior including location of chairs, tables, rnerdia -dise ► C= pant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) - 0.h _ Quantity of tanks ►Site plan required showing location of cooking or heating equipment and cturs ►Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of -vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candles ►Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. l Other (specify)1I 4 wo r K .,,,SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-conti uous normal business hours, weekend or holiday. 2 hour minimum FIRE ADMINISTRATION ONLY ❑ Special Conditions of Permit Apply, **(See Attached) Invoice No: S400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.ILifeSafetyServiceslForms/Application for Temp Permit- Special Event (09 22-16) Iff t-'c)dmgRl 1 h '�� Cirl OF NEWPORT BEACH COM6ITOUNiTf DEVELOPMENT DEPARTMENT 100 Civic Center Drive Newport Beach, California 92660 949 644-3200 newportbeachca.gov/communitydevelopment 5/26/16 Megan Ricigliano 3341 Newport Blvd. Newport Beach, CA SUBJECT: Operational permit for LP gas use at 3341 Newport Blvd. Dear Megan, The permit application for the use of LP gas for demonstrational purposes is approved with the following conditions: The use of propane inside the building located at 3341 Newport Blvd. ("Piece of Mind") shall be limited to public exhibition and demonstration use only and per the California 2013 Fire Code, the 2011 edition of NFPA 58 Section 6.19.9 and the following conditions: 1. Propane tank size shall be a maximum of 12 pound water capacity (nominal 5 pounds propane capacity) and secured from tipping or falling at all times (placed snug in a crate or tied off). 2. The propane shall be stored offsite and brought into the building at the time of the demonstration and removed from the premises immediately after the demonstration. 3. The compressed oxygen cylinder size will be below 200 Cubic Feet and secured to a fixed object in an upright position with one or more restraints to resist falling. 4. If the compressed oxygen is 200 cubic feet or more, placement in the County of Orange CUPA program will be required, and a compressed gas permit may be required. 5. Provide a minimum 2A:10BC fire extinguisher at work area at all times. Fire extinguisher shall be serviced annually with current tags attached. Failure to comply with the above provisions will cause the permit to be revoked. If you have any questions or concerns, please feel free to contact me at 949-644-3108 or by email at smichael@nbfd.net Sincerely, Steve Michael Life Safety Specialist City of Newport Beach NEWPORT BEACH FIRE DEPARTMENT 100 Civic Center Drive P.O. Box 1769, Newport Beach, CA 92660-891.5 Office (949) 644-3106 — Fax (949) 644-3120 VIOLATION NOTICE Business/Building Name: ece J Inspection Date: Unit: ', S; i 1�l r r)j /fi t Address: ( n t� 1 A r� 3 2) I P_W ter; BLvcd Irfspecttor: , iC 111 Phone: l: `?siinjejss LuI (? - 5 —?'3 — �; J d As a result of a fire inspection by the Newport Beach Fire Department, the violation(s) listed below were noted. m m m m m m m m m See reverse side for violation code descriptions Date Cleared office use only) L_1t r�� a Orov,.,c e,'vn, dot ,:�c�h ►firr�' �� GS � �',��r,� r'SCon)l v e. ( ,4 e b Yt- , 74-, �b p ovnd SELF -CLEARING: Only a fire extinguisher violation may be self -cleared. If one was noted above:; It may be se(fi cleared by certifying below that it has been serviced or replaced and tagged appropriately. Please return this notice to the above address within 14 days of the inspection date. . I hereby certify that the fire extinguisher violation has been corrected on (Date). Print Name: Signature: N ORDER TO COMPLY: You are hereby required to correct the above conditions) immediately upon receipt. Non-compliance with the foregoing order before the date of reinspection may render you liable to the penalties provided by law for such violation(s). A re -inspection date is noted on the bottym'of this notice. 1 _ , ,r , . ,zkl 1 Print - Responsible Party Signature -Responsible Party r 5b I W Email Re-inspe tion Date Original White — Business Yellow —Life .Safety Services Division Revised: 04-18-13 GENERAL PROVISIONS FOR FIRE SAFETY California Fire Code Sections A, Common Violations AA Provide extinguisher(s) with a minimum rating of 2-A•10-B:C. (906.1] AB Mount extinguisher(s) where readily available. 40 Ibs or less = top, maximum 5' above floor / more than 40 Ibs = top, maximum 3.5' above floor [906 9] AC Service and tag each extinguisher annually and after each use. [906.2] AD Post signs indicating location of extinguishers when obscured from view. [906.6] AE Open burning, recreational fires, and/or outdoor fireplaces (objectionable or unapproved location). [307] AF Provide appropriate sign on fire department connection. [912.41 AG Fire department connection clearance is to maintain a 3' circumference. [912.3.2] AH Post street address numbers on front of building. Minimum 4" in height for residential and minimum 6" in height for commercial. [505.1] At Fire hydrant clearance is to maintain a 3' circumference. [507.5.5] AJ Commercial dumpsters are to maintain a 5' separation from buildings. [304.3.3] AK Class K commercial kitchen extinguisher required. [904.11.5.2] AL Open flame cooking devices shall not be operated on combustible balconies or within 10' of combustible construction unless sprinklered. P081.4] B. Fire Protection Systems BA Provide Knox box for fire department access. [506] BB Extinguishing systems shall be maintained and operable at all times. [901.6] BC Service and tag hood and duct extinguishing system semi-annually and after each activation. [904.5] BD Provide central station supervision of fire sprinkler system. [903.4] BE Inspect, test, and provide 5-year certification on sprinkler/standpipe system(s). [901.6.1] BF An approved occupant voice notification system shall be provided. [907.6.2.2] BG Hoods, grease -removal devices, fans, ducts, and other appurtenances shall be cleaned. [609.3.3] C. Maintenance of Exit Ways CA Remove all other locks or latches from doors and replace with panic hardware -Assembly occupancies (OL 50 or greater) [1008.1 JO] CB Unlock all exit doors during business hours. [1008.1.9.3) CC Post approved sign "THIS DOOR TO REMAIN UNLOCKED WHEN BUILDING IS OCCUPIED," [1008.1.9.3] CD Post occupant load sign. [1004.3] CE Means of egress shall be illuminated at all times when occupied. [1006.1] CF Remove obstruction(s) from exits, aisles, corridors, and stairways. [1030] D. Flammable and Combustible Liquids DA Provide approved liquid storage cabinet for all flammable liquids. [3404.3.2] DB Flammable liquids shall be transferred by one of the approved methods, such as pumps taking suction through the top of the container. [3405.2.4] DC Provide approved safety cans for dispensing flammable liquids. [3404.3] E. Storage EA Reduce storage to 18" below level of sprinklers or 24" below ceiling in non-sprinklered building. [315.2.1] EB Good housekeeping. Arrange storage in an orderly manner and provide for exiting & fire department access. [315.2] EC Remove combustible storage in boiler, mechanical, or electrical rooms. [315.2.3] ED Proper storage of oily rags and similar materials shall be in listed disposal containers. [304.3.1] EE Remove storage from under exit stairways. [315.2.2] F. Electrical FA Provide cover plates. [605.1 ] FB Identify breakers in panel box [605.3.1] FC Electrical panel and equipment shall have a minimum clearance of 36" in depth, 30" in -width, and 78" in height [605.3] FD Discontinue use of extension cords in lieu of permanent wiring. [605.5] FE Remove extension cords running through openings or attached in series, cords placed under rugs, furniture, or where subject.to damage. [605.5] FF Maintain wiring in good condition and protect from damage, [605.5.3] FG Discontinue use of multi -plug adapters. [605.4] G. Hazardous Materials GA Provide approved hazardous materials storage cabinet for all hazardous materials. [2703.8.7] GB Secure and identify compressed gas cylinders with name of product. [3003.5.3] GC Provide MSDS information for hazardous materials. [2703.4] GD Mark all fixed storage facilities in accordance with NFPA 704. [2703.5] GE Update hazardous materials inventory statement and/or hazardous materials management plan. [2701'.5.1, 2701.5.21 H. Combustible Materials HA Remove all cut or uncut dead and dying weeds from the property. [805.5] HB Out and remove trees and shrubs in wildland hazard reduction area. [4903] Z. Miscellaneous Violations ZZ Other code violation Chapter 1 Requested Operational Permits— Not2n all inclusive list, only the most common. See Section 1056 for a complete list offequired permits. • Combustible Dust -producing Operations (i.e. wood working). [105.6.6] •- .Compressed Gases. corrosive/flammable in excess of 200 CuFt; toxic, highly toxic, pyrophoric— any amount; inert at 6000 CuFt; oxidizing at 504 CuFt. [105.6.81 • Cryogenic Fluids: quantities on site are in excess of the amounts in Table 106.6.10. (i.e. flammable: more than 1 gallon inside and more than 60 gallons outside) • Dry Cleaning Plants: use of solvents to clean clothing. [105.6.12] • Flammable and Combustible Liquids: storage of Class I liquid in excess of 5 gallons inside or in excess of 10 gallons outside of a building; 2Lstorage of Class II or Class II IA in excess of 25 gallons inside or in excess of 60 gallons outside of a building; 21 storage of Class IIIB liquids in tanks for fueling motor vehicles at motor fuel -dispensing facilities; or.engage in the dispensing of liquid fuels into the fuel tanks of.mdtor vehicles. [105.6.16] • Hazardous Materials: to store, dispense, use, or handle hazardous materials in quantities listed in Table 105.6.20. • Not Work Operations: cutting, welding, brazing, soldering, grinding, and other similar activity. [105,6.23] • Industrial Ovens (i.e. parts, circuit boards, kilns, powder coating). [105.6.241 . LP -gas: storage and use. [105.6.271 • Open Flames and Candles: in assembly areas, dining areas of restaurants or drinking establishments. [105.6.32] • Place of Assembly: 50 or more persons. [105.6.34] • Refrigeration Equipment: to operate a mechanical refrigeration unit or system. [105.6.38] • Repair Garages and Motor Fuel -dispensing Facilities. [105.6.391 • Spraying or Dipping (i.e. spray booths/rooms). [105.6.41] IN.517ALLATION OF LP -GAS SI'MMS 58-45 hours the public normally occupies the building shall comply with the following: (1) The maximum water capacity of individual cylinders shall be 50 lb (23 kg) (nominal 20 lb (9.1 kg) propane capac- ity], and the number of cylinders in the buildingshaIl not exceed the number of workers assigned to the use of the propane. (2) Cylinders having a water capacity greater than 2.7lb (1.2 kg) shall not be left imattended. 6.19.5.2 During the hours the building is not open to the public, cylinders used and transported within the building for repair or minor renovation and with a water capacity greater than 2.7 lb (1.2 kg) shall not be left unattended. 6.19.6 Buildings Housing Industrial Occupancies. 6.19.6.1 Cylinders used in buildings housing industrial occu- pancies for processing, research, or experimental purposes shall comply with 6.19.6.1(A) and 6.19.6.1(B). (A) If cylinders are manifolded together, the total water capacity of the connected cylinders shall be not more than 735 lb (333 kg) [nominal 300 lb (136 kg) propane capacity]. )f there is more than one such manifold in a room, it shall -be separated from any other by at Ieast 20 ft (6.1 m). (B) The amount of LP -Gas in cylinders for research and ex- perimental use in the building shall be limited to the smallest practical quantity. 6.19.6.2 The use of cylinders to supply fuel for temporary heat- ing in buildings housing industrial occupancies with essentially noncombustible contents shall comply with the requirements in 6.19.4 for cylinders in buildings under construction. 6.19.6.3 The use of fuel cylinders for temporary hearing shall be permitted only where portable equipment for space heating is essential and a permanent hearing installation is not practical. 6.19.7 Buildings Housing Educational and Institutional Occu- pancies. 6.19.7.1 The use of cylinders in classrooms shall be prohib- ited unless they are used temporarily for classroom demon- strations in accordance with 6.19.9.1. 6.19.7.2 Where cylinders are used in buildings housing edu- cational and institutional laboratory occupancies for research and experimental purposes, the following shall apply: (1) The maximum water capacity of individual cylinders used shall be 50 lb (23 kg) [nominal 20 lb (9.1 kg) propane capacity] if used in educational occupancies and 12 lb (5.4 kg) (nominal 5 lb (2 kg) propane capacity) if used in institutional occupancies. (2) If more than one such cylinder is located in the same room, the cylinders shall be separated by at least 20 ft (6.1 m). (3) Cylinders not connected for use shall be stored in accor- dance loth Chapter 8. (4) Cylinders shall not be stored in a laboratory room. 6.19.8 Temporary heating and Food Service Appliances in Buildings in Emergencies. 6.19.8.1 Cylinders shall not be used in buildings for tempo- rary emergency heating purposes except when all of the fol- lowing conditions are met: (1) The permanent heating systern is temporarily out of service. (2) Heat is necessary to prevent damage to the buildings or contents. (3) The cylinders and heaters comply with, and are used and transported in accordance with, 6.19.2 and 6.19.4. (4) The temporary heating equipment is not leftunattended. (5) Air for combustion and ventilation is provided in accor- dance with NFPA54, NationalTuel Gas Code. 6.19.8.2 When a •public emergency has been declared and gas, fuel, or electrical service has been interrupted, portable listed LP -Gas commercial food service appliances meeting; the requirements of 6.19.9.4 shall be permitted to be temporarily used inside affected buildings. 6.19.8.3 The portabie.appliances used shall be. discontinued and removed from the building at the time, the permanently installed appliances are placed back in operation: 1.19.9 Use in•Buiidiugs for Demonstrations or Traiiring, and Use of Small Cylinders for Self -Contained Torch Assemblies and Food Service Appliances. 6.19.9.1 Cylinders used temporarily inside buildings for pub- lic exhibitions or demonstrations, including use in classroom demonstrations, shall be in accordance witli the following: (1) The maximum water capacity of a cylinder shall be 12 lb (5.4 kg) [nominal � lb (2 kg) propane capacity,]. (2) If more than one such cylinder is located in a room, the cylinders'shali be separated by at least 20 ft (6.1 m). 6.19.9.2 Cylinders used temporarily in buildings for training purposes related to the installation and use of I.P-Gas systems shall be in accordance with the following: (1) The maximuin water capacity of individual cylinders shaII be 245 lb (111 kg) [nominal 100 lb (45 kg) ,propane ca- pacity], but not.triore than 20 lb (9.1 kg) of propane shall be placed in a single. cylinder. (2) If more than one such cylinder is located in Elie same room, the cylinders shall be separated by, at least 20 ft (6.1 m). (3) The training location shall be acceptable to the authority having jurisdiction. (4) Cylinders -shall be promptly removed from the building when the training class has terminated. 6.19.9,.3* Cylinders used in builcli4gsras:p4rt of app_roved:seif- containecl 'torcli'...assein6iics or&imilar-appliances shall be in accordance with the following: (1) Cylinders used in buildings shall comply with ANSI/C1I. 147A, Standard for Mmrefillable (Dispos(,ile) Tyj)e Fuel Gas CylinderAsseniblies. (2) Cylinder$.shall.haye a maiiinum water capacity-of'2;!lb 6.19.9.4 Cylinders used with commercial food service appli- ances shall be used inside restaurants and in attended com- mercial food catering operations in accordance with the fol- lowing: (1) Cylinders and appliances shall be listed. (2) Commercial food service appliances shall not have more than two 10 oz (206 ml) nonrefillable butane gas cylinders, each having a maximum capacity of 1.081b (0.490 kg). (3) Cylinders shall comply with.ANSI/UL I4713, Standard for Nonmfallable (Disposable) Type Metal Container Assmblies for Butane. (4) Cylinders shall be connected directly to the appliance and shall notbe manifolded. 2011 Edition DIVISION II ADMINISTRATION 2.2. The storage or use of paints, oils, varnishes or similar flammable mixtures when such liquids are stored for maintenance, painting or similar purposes for a period of not more than 30 days. 3. To store, handle or use Class H or Class UTA liq- uids in excess of 25 gallons (95 L) in a building or in excess of 60 gallons (227 L) outside a building, except for fuel oil used in connection with oil - burning equipment. 4. To store, handle or use Class I11B liquids in tanks or portable tanks for fueling motor vehicles at motor fuel -dispensing facilities or where con- nected to fuel -burning equipment. Exception: Fuel oil and used motor oil used for space heating or water heating. 5. To remove Class I or H liquids from an under- ground storage tank used for fueling motor vehi- cles by any means other than the approved, stationary on -site pumps normally used for dis- pensing purposes. 6. To operate tank vehicles, equipment, tanks, plants, terminals, wells, fuel -dispensing stations, refiner- ies, distilleries and similar facilities where flam- mable and combustible liquids are produced, processed, transported, stored, dispensed or used. 7. To place temporarily out of service (for more than 90 days) an underground, protected above -ground or above -ground flammable or combustible liquid tank. 8. To change the type of contents stored in a flamma- ble or combustible liquid tank to a material that poses a greater hazard than that for which the tank was designed and constructed. 9. To manufacture, process, blend or refine flamma- ble or combustible liquids. 10. To engage in the dispensing of liquid fuels into the fuel tanks of motor vehicles at commercial, indus- trial, governmental or manufacturing establish- ments. 11. To utilize a site for the dispensing of liquid fuels from tank vehicles into the fuel tanks of motor vehicles, marine craft and other special equipment at commercial, industrial, governmental or manu- facturing establishments. [A] 105.6.17 Floor finishing. An operational permit is required for floor finishing or surfacing operations exceed- ing 350 square feet (33 m2) using Class I or Class ll liq- uids. [A] 105.6.18 Fruit and crop ripening. An operational permit is required to operate a fruit- or crop -ripening facil- ity or conduct a fruit -ripening process using ethylene gas. [A] 105.6.19 Fumigation and insecticidal fogging. An operational permit is required to operate a business of fumigation or insecticidal fogging, and to maintain a room, vault or chamber in which a toxic or flammable fumigant is used. [A] 105.6.20 Hazardous materials. An operational per- mit is required to store, transport on site, dispense, use or handle hazardous materials in excess of the amounts listed in Table 105.6.20. [A] 105.6.21 HPM facilities. An operational permit is required to store, handle or use hazardous production materials. [A] 105.6.22 High -piled storage. An operational permit is required to use a building or portion thereof as a high - piled storage area exceeding 500 square feet (46 in). [A] 105.6.23 Hot work operations. An operational permit is required for hot work including, but not limited to: 1. Public exhibitions and demonstrations where hot work is conducted. 2. Use of portable hot' work equipment inside a struc- ture. Exception: Work that is conducted under. a con- struction permit. 3. Fixed -site hot work equipment, such as welding booths. 4. Hot work conducted within a wildfire risk area. 5. Application of roof coverings with the use of an open -flame device. 6. When approved, the fire code official shall issue a permit to carry out a hot work program. This pro- gram allows approved personnel to regulate their facility's hot work operations. The approved person- nel shall be trained in the fire safety aspects denoted in this chapter and shall be responsible for issuing permits requiring compliance with the requirements found in Chapter 35. These permits shall be issued only to their employees or hot work operations under their supervision. [A] 105.6.24 Industrial ovens. An operational permit is required for operation of industrial ovens regulated by Chapter 30. [A] 105.6.25 Lumber yards and woodworking plants. An operational permit.is required for the storage or.pro- cessing of lumber exceeding 100,000 board feet (8,333 ft3) (236 m3). [A] 105.6.26 Liquid- or gas -fueled vehicles or equip- ment in assembly buildings. An operational permit is required to display, operate or demonstrate liquid- or gas - fueled vehicles or equipment in assembly buildings. [A] 105.6.27 LP -gas. An operational permit is required for: Storage and use of LP -gas. Exception: A permit is not required for individual containers with a 500-gallon (1893 L) water capacity or less or multiple container systems having an aggre- gate quantity not exceeding 500 gallons (1893 L), serving occupancies in Group R-3. 2. Operation of cargo tankers that transport LP -gas. 2013 CALIFORNIA FIRE CODE 19 Michael, Steve From: megan illing <meganilling@gmail.com> Sent: Tuesday, May 03, 2016 5:03 PM To: Michael, Steve Subject: Re: Compressed gas Hi Steve, I found a small 1 gallon propane `tank and am still looking for an'S' size oxygen tank that will only be 154 cu $. I hope to have everything together for the permit by next week. Thank you for all your help. Megan Ricigliano On Mon, Apr 25, 2016 at 3:24 PM, Michael, Steve <smichaelna,newportbeachca.gov> wrote: Hi Megan, I failed to mention that although a fire department permit is not required for the oxygen because you don't have over 504 cubic feet, a county hazmat permit is required for compressed gas (oxygen) 200 cubic feet or more. I would suggest downsizing your oxygen to under 200 cubic feet to keep you out of the hazmat program and paying more fees. Thanks! Steve Steve Michael Newport Beach Fire Department 949-644-3108 "Sa f et*, Sewke and J 6ianae m„ APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644.3106 Fax (949) 644.3120 NEWPORT BEACH FIRE DEPARTMENT •- • •- • • Business Name: i Y Applicant Name: Phone: 3 3 Address: Email: nnolOA- r Email: Contact Name: W,11 Contact Name: Event Name: jj I Event Address: 2 30 p, f V {IV#46µ Event Date: �j Zp ( Event Time: (� . No of Attendees SPECIAL•• 1 • (A site plan is required for all permits, except candle permits. Fee applies to each individual Permit as marked below) ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tanks) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits.. Candles & Open Flames in Assembly Areas Quantity of candles 00 ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify"liSPECIAL EVENT FEES $46.00 - Candles (includes first time and special event) ❑ $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection Burin non-conti uous normal business hours, weekend or holiday., 2 hour minimum FIRE ADMINISTRATION ONLY ❑ Special Conditions of Permit Apply, **(See Attached) Invoice No: FS5400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September zc, 2v-ta. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.VfeSafetyServiceslFonns/Application for Temp Permit - Special Event (09-22-15) f APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644.3120 NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SERVICES DIVISION sigr<ru'b F r epartment ret,tj3�~' - DATE• Business Name:aw� Applicant Name: Phone. _ q _ Address. Email: Email: Contact Name: �� Contact Name: •lk IN 171 1 • Event Name: Yvobol'Iyyy Event Address: z3oot y V Y Y CA lIG66 Event Date: Event Time: Jp — y„ %, No of Attendees : 150 SPECIAL•R• applies(A site plan is required for all permits, except candle permits. Fee marked below) ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure No -Number of Tent Walls No. Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag No. "No Smoking" signs No. Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tanks) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. �(Candles & Open Flames in Assembly Areas Quantity of candles 90 ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specifySPECIAL EVENT FEES $46.00 - Candles (includes first time and special event) ❑ $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION ONLY ❑ Special Conditions of Permit Apply, **(See Attached) [invoice No: FS5400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on SeptemDer cc, 201 a. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.lLifeSafetyServicesIForms/Application for Temp Permit -special Event (09-22-15) ALL WICKS MUST BE CUT LOW ....:....................................... a.4.......... I P............ ... WATER LEVEL 3" FROM TOP OF ALL' VASES\CONTAINERS ......................... ALL VASESICONTAINERS MU B -BE SECURED ON FLAT SURFACE WITH DOUBLEACK TAPE OR GLUE NNW be u5oc in c-44We 8 qck�j, NMMWBEXNWEDR!�� UFE SAFM SEWCE01MISION t�asF��_yr� • �� PAM . Large candle will be placed inside lantern City of Newport Beach Revenue 100 Civic Center Dr. Newport Beach, CA 92669 949-644-3141 Welcome 000512-0001 Dalia P. 08/26/2016 11:44AM MR -FIRE FDP024 FIRE ANNUAL &SPCL PMTS 2017 Item: FDP024 2 @ 46.00 FDP024 FIRE ANNUAL &SPCL PMTS 92.00 -------------- 92.00 Subtotal 92.00 Total 92.00 CREDIT CARD 92.00 -------------- Change due 0.00 Comments: 9/16, 9/29 Signature: Thank you for your payment CUSTOMER COPY DUE 10-29-15 ID EVENT NUMBER APPLICATION DATE APPLICANT NAME PRINTED NAME OF THE EVENT EST DAILY PARTICIPANTS EST DAILY SPECTATORS SPONSORING ORGANIZATION(S) SPONSOR ADDRESS SPONSOR CITY SPONSOR ZIP PERSON IN CHARGE PERSON IN CHARGE PHONE PERSON IN CHARGE FAX PERSON IN CHARGE EMAIL PROFESSIONAL ORGANIZER PROFESSIONAL ORGANIZER ADDRESS PROFESSIONAL ORGANIZER PHONE PROFESSIONAL ORGANIZER FAX PROFESSIONAL ORGANIZER EMAIL RESPONSIBLE PERSON ON SITE RESPONSIBLE PERSON PAGER PHONE EXACT LOCATION START DATE SETUP START DATE SETUP START TIME BREAKDOWN COMPLETION DATE BREAKDOWN COMPLETION -TIME TIMES OF EVENT ESTIMATED ATTENDANCE ADMISSION FEE? ADMISSION FEE DESCRIBE PHONE NUMBER FOR PUBLIC EVENT AND INFO DESCRIBE PARKING FOR EVENT AND LIST ANY SPECIAL REQUESTS ANY PORTION OF THIS ACTIVITY TO OCCUR ON A CITY STREET, SIDEWALK STREET DESCRIBE IS THIS EVENT OPEN TO THE PUBLIC? OPEN TO PUBLIC DESCRIBE TRAFFIC SAFETY EQUIPMENT? 5199 16002 10/06/2015 0:00 ERICA BARRY SIDEWALK 20 PER DAY BLISS HOME & DESIGN 3321 E. COAST HIGHWAY CORONA DEL MAR 92625 ERICA BARRY 949-566-0380 NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SER ICES DIVISION THIS FIRE PERMIT H BEEN APPROVED BY: (W, DATE: 1® ERICA@BLISSHOMEANDDESIGN.COM ERICA BARRY 323-810-2982 3321 E. COAST HIGHWAY, CORONA DEL MAR 01 /15-1 /19/2016 01 /15/2016 0:00 01/00/1900 0:00 01 /19/2016 0:00 01 /00/1900 0:00 10:OOAM-6:OOPM 949-566-0380 STREET PARKING STORE SIDEWALK SALE 0 TRAFFIC SAFETY EQUIPMENT DESCRIBE DESCRIBE ENTERTAINMENT ARE ANY ROAD CLOSURES REQUESTED FOR THIS EVENT? 0 ROAD DESCRIBE ALCOHOL SERVED? 0 ALCOHOL SOLD? " - L°1FE SAFETY SRVICES.;RIYISIO`N ONLY TO 'ECTION REQ'D: NO ❑ PERMIT REQ'D: NOX-YES ❑ SPECIAL EVENT CALNOW YES ❑ N ES ❑ 9-IS ATTACHED ONDITIOS C. NO Y $142. PER INDIVIDUAL PERMIT (LPG/TENT) X $� 0 $46. CANDLES (FLAT FEE) $159. INSP DURING NORMAL BUS. HR (I HR MIN) X _ $ NOT MIRING NORMAI RIIC HM () HR MINI X = R TOTAI RTIMATF R ALCOHOL CONTACT PERSON ALCOHOL PHONE FOOD AT EVENT? 0 FOOD PREPARED AT EVENT? 0 / FOOD SOLD? 0 FOOD CONTACT PERSON FOOD PHONE IF FOOD IS TO BE PREPARED, WHERE IS IT BEING PREPARED? DRAWING, RAFFLE, OR CASINO? 0 CASINO? 0 DRAWING CONTACT PERSON DRAWING PHONE SOUND AMPLIFICATION TO BE USED? 0 OUTDOORS? 0 INDOORS? 0 HOURS OF USE AMPLIFIED SOUND CONTACT PERSON ON SITE APMLIFIED SOUND CONTACT PERSON PAGER PHONE DESCRIBE SOUND EQUIPMENT (MAXIMUM DISTANCE AUDIBLE IS 150 FT BY CANOPIES OR TENTS? 0 SIZE (ATTACH PLOT PLAN) DATEINSTALLED DATE REMOVED BY BOOTH, BLEACHERS, STAGES OR STRUCTURES 0 BOOTH DESCRIBE SIGNS OR BANNERS TO BE USED? 1 BANNERS DESCRIBE ON OUR WINDOW GENERATORS, LARGE VEHICLES, BOATS, OR OTHER EQUIPMENT? 0 GENERATORS DESCRIBE ANY COMMERCIAL ASPECTS? 0 COMMERCIAL ASPECTS DESCRIBE COMMERCIAL FILMING? 0 OTHER COMMERCIAL ASPECTS? 0 ADDITIONAL INFORMATION PERMIT LEVEL BIKE/FOOT RACE 0 SURF CONTEST 0 Permittee: Bliss Home and Design c/o Erica Barry 3321 E. Coast Highway Corona del Mar, CA 92625 Event Number: 15-011 Level 2/$1447- Res. -Late Fee Title of Event: Sidewalk Sale Location: 3321 E. Coast Highway, Corona del Mar Dates: Friday -Monday, January 16-19, 2015 Times: 10:00am-6:OOpm Attendance: 300 The above referenced Special Event Permit is authorized at the location(s), date(s) and times indicated ONLY. Approval is contingent on compliance with the following conditions: Event Date Conditions 1. All vehicles shall be lawfully parked. No fire lane exemption. 2. No activities permitted in any portion of public street, sidewalk or alley. 3. No posting of promotional signs permitted on any portion of public property, including trees, utility poles, street signs, etc. 4. No exclusive use of public parking areas. 5. Ensure that a 6-foot path of travel for the sidewalk is maintained. 6. Activities shall not create a pedestrian or traffic hazard.Prevent crowds from blocking sidewalks. 7. The outdoor sales shall take place from 1 Oam-6pm. 8. No posting of promotional signs is permitted on any portion of public property, including trees, utility poles, street signs, etc. All signage located on -site shall comply with Chapter 20.67 (Signs) of the Zoning Code. 9. All areas related to the sale shall be cleaned, and displays and merchandise shall be removed at the end of each day of the sale. 10. No smoking or open flames are permitted inside the canopy. 11. The sales area and vicinity will be kept clean at all times. 12. Do not block entrances or exits from any building. Do not block Fire Department access to any fire suppression equipment. 13. Do not exceed posted occupancy load of any room or building. 14. Obey all City, County and State regulations. 15. Comply with the lawful orders of Police, Fire, Code Enforcement or other government officials. 16. Any sound amplification or noise associated with this special event activity is controlled by Newport Beach Municipal Code Sections 10.26, 10.28, and 10.32. You should be aware if complaints are received relative to any noise generation you may be told to either lower or to eliminate any noise associated with your activity by the Police Department, Code Enforcement or Park Patrol Officer. Permittee: Bliss Home and Design c/o Erica Barry 3321 E. Coast Highway Corona del Mar, CA 92625 Event Number: 15-011 Level 2/$1447- Res. -Late Fee 17. Any waste that enters or may enter the storm drain system (street and gutter) is strictly controlled by Newport Beach Municipal Code Section 14.36. This section prohibits the discharge of any pollutant into these areas. Therefore, you should make any arrangements that may be necessary to remove or to eliminate any potential pollutants from entering the storm drain system. 18. The operator of the facility shall be responsible for the control of noise generated by the subject facility. The noise generated by the proposed use shall comply with the provisions of Chapter 10.26 of the Newport Beach Municipal Code. 19. No amplified sound applied for or permitted. 20. No alcohol applied for or permitted. 21. Signsibanners on private property shall be per approved permit from the Planning Department. Please contact the Planning Department at 949-644-3204 for information. 22. Permittee is responsible for clean-up after each event date. 23. On -site contact are Erica Barry at 323-810-2982. 24. Clean-up is the responsibility of the Permittee. 25. Provide a copy"of this permit upon request of a public official. Pre -Event Conditions 1. Permittee shall provide $1,000,000 general liability insurance naming the City of Newport Beach as additionally insured and provide a written endorsement of said coverage. 2. The special event organizer shall provide the Revenue Division with a roster of each vendor, exhibitor or other event service provider in its special event to the City as part of its Special Event Permit Application. 3. The special event organizer shall complete the Special Events Temporary Business License Application and collect the apportioned business license from each vendor, exhibitor or other event service provider and remit the payments to the City prior to the event date. This permit shall be present at the event and made available at the request of the Police or other city officials. Failure to comply with the requirements of this permit, or violations of law, will result in the cancellation of this permit, and/or denial of future permits. Issuance of this permit does not authorize any activity in violation of any law, nor does it represent an endorsement of the activity or persons responsible for the event. I have read and understand the conditions of this permit and agree to comply with them. Please initial, date, and fax to (949) 644-3155. Initials: Date: Approved by: Matt S. Dingwall Recreation Supervisor Date . . s zS qUA-R- t"t���'It .- . . by CCR,-Title 19 ro e 1'nforniatton�- - Name: Birch Medical Office Center Occupancy/Use: Address: 20162 SW Birch Street Construction Type: oF Cq�7�p� City. Newport Beach No. Stories: 2 co a" ZIP: 92660 Year Constructed: 2003 �y Candie Huang Contact: Telephone: (949) 288-1828 `Garitraciir:ln#.ii ona: ti•s:..,as•,ams:.s,v..:r_ mNutrtler:of'-Sysemi :Risers '`,:':N. '.:!= 'm_ _ x,:.•'s..a:»r:�J >r ,,s.. Name: Orange County Fire Protection Copy sent to: Address: 137 W. Bristol Lane ❑✓ Owner Date: 07/26/16 Orange Fire AHJ Date: 07/26/16 City: CA ❑ Contractor Date: State: Telephone: (714) 974-9025 1 NOTES: ) For specific inspection, testing, and maintenance requirements and information, see NFPA 26, 2011 326604 CA License#: Edition as amended by California.Code of Regulations, - Title 19, §901 to §906. . Job M 2) Inspection items may be performed by -the owner in Performed by: George & Tim accordance with California Code of Regulations, Title 19, §904.1(a) 71 eck.boic for.eaah•systefn,:ln pscte4i an (xe. t r tti-riumlie ."o ' s.us$d " df' ns(isc .a . , q; :7 ;1 Check boxes; Falil or.' Pass') tb 1holl a aRatuls.ctf Ihdpect$tl' �ysiem t' lbd of lri#pactlont"- ": ``"`i „ .;.r;{ A.."• Forms Included with this Report Chapter m Automatic Sprinkler System 5 1 ❑ ❑ ❑✓ ❑ Standpipe and Hose System 6 0 ❑ ❑ ❑ © Private Water Supply System 7 1 ❑ ❑ ❑ Fire Pump 8 0 ❑ ❑ ❑ ❑ Water Storage Tank 9 0 ❑ ❑ ❑ ❑ Water Spray System 10 0 ❑ ❑ ❑ ❑ Foam Water Sprinkler System 11 0 ❑ ❑ ❑ ❑ Water Mist System 12 0 ❑ ❑ ❑ ❑ Concerns that are not deficiencies (i.e. Non-Sprinklered Areas) ❑ Yes ❑ No 7'. `77. is ,Se .`Defici ncies'rari''- Corzimeriis�` see#iQri-a en'.;o each:r`.eIpec tVefi m :;: . u:. q�," AUG 2 6 2016 AES 1 September 3, 2013 Riser, Location= Nol .FDlametei°:: 'Main, Drain:. ` ;Diameter?; r Initial -Pressure Pressure.: s• Finial Static Pressure.: P;.F;.N%A 1 In closet inside of suite 150 4' 2" 75 60 76 P 1 ❑ This building has more than 5 risers. See additional AES 2.9 form attached Number of AES 2.9 forms attached: e r a P = Pass F = Fall N/A =Not Applicable 1 = Inspection T = Test M = Maintenance -, >. NF °A_ ell::'" � Rf ,. ��'' ' Date' � " `,Go' rNs Qn1 mme y.. �.�' �;�: _ ,P'�F `t}UA , 1.1 I Control Valves — Identification Sign 13.3.1 04/01/16 P 1.2 1 Control Valves — Inspection 13.3.2 04/01/16 P 1.3 1 Waterflow Alarm Devices 5.2.5 04/01/16 P 1.4 1 Supervisory Devices 5.2.5 04/01/16 P 1.5 1 I Gauges (Wet Pipe Systems) 5.2.4.1 04/01/16 P 1.6 1 Hydraulic Design Information Sign (For hydraulically designed systems) 5.2.6 04/01/16 P 1.7 1 Enter Water Supply Pressure Below Riser Check 5.2.4.1 04/01/16 74 psi F 1.8 1 Enter Water Supply Pressure Above Riser Check 5.2.4.1 04/01/16 75 psi P 1.9 1 Pressure Readings Acceptable 5.2.4.1 04/01/16 P 1.10 1 General Information Sign not required fors stem prior to 2007 Edition NFPA 13) 5.2.8 04/01/16 NA 1.11 1 Heat Tape 5.2.7 04/01/16 NA 1.12 1 Spare Sprinklers 5.2.1.4 04/01/16 P 1.13 1 Fire Department Connections 13.7 04/01/16 P 1.14 1 Alarm Valves — Exterior Inspection 13.4.1 04/01/16 NA 1.15 1 Pressure Reducing Valves 13.5.1.1 04/01/16 NA 1.16 1 Backflow Preventers 13.6.1 04/01/16 NA AUG 2 6 2016 Form AES 2.2 Sept. 3, 2013 ' ANNUAL INSIPECTON, TESTING, AND MAINTENANCE Include ALL Quarterly Inspections =Ins action T = Test M = Maintenance P = Pass F = Fall N/A =Not Applicable Qescffptlo�hNFpA2!S-CA,bd�. r1.1 1 Small Hose Connections - Hose Valve* 5.1.6, 13.5.2 13.5.5.1 04/01/16 N/A 1.18 1 PRV — Fire Sprinkler Systems 13.5.1.1 04/01/16 N/A 1.19 1 Buildings (Freeze Protection) 4.1.1.1 04/01/16 Owner's Responsibility N/A 1.20 1 Sprinklers 5.2.1 04/01/16 P 1.21 1 Sprinklers - Accessible Concealed Space 5.2.1.1.6 04/01/16 P 1.22 I Pipe and Fittings 5.2.2 04/01/16 P 1.23 1 Pipe and Fittings -Accessible Concealed Space 5.2.2.3 04/01/16 P 1.24 1 Hangers 5.2.3 04/01/16 P 1.25 1 Hangers - Accessible Concealed Space 5.2.3.3 04/01/16 P 1.26 I Seismic Braces 5.2.3 04/01/16 P 1.27 1 Seismic Braces - Accessible Concealed Space 5.2.3.3 04/01/16 P 1.28 1 Unsprinklered Areas CFC 901.4 04/01/16 QYes m No 2.1 T Field Service Test Required Send Report to Fire Code Official 5.3.1 04/01/16 If REQUIRED, Enter'F' until results are returned from Lab NA 2.2 T Recalled Sprinklers If not present = Pass; if present = Fail Title 19 904.1(c) 04/01/16 P 2.3 T Water Flow Alarm Devices 90 secs max. Enter time 5.3.3 13.2.6 04/01/16 60 sec. P 2.4 T Main Drain Test (Enter data on Page 1 of this form) 13.2.5 13.3.3.4 04/01/16 F 2.5 T Control Valve - Position 13.3.3.2 04/01/16 P 2.6 T Control Valve — Operation 13.3.3.1 04/01/16 P 2.7 T Supervisory Devices 13.3.3.5 04/01/16 P 2.8 T Backflow Preventer Assemblies 13.6.2 04/01/16 NA 2.9 T Small Hose Connections* w/PRV Hose Valves — Partial Flow Test 13.5.2.3 13.5.3.3 04/01/16 NA 2.10 T PRV — Fire Sprinkler Systems 13.5.1.3 04/01/16 NA 2.11 T Pressure Gauges - Calibration 5.3.2 04/01/16 NA 2.12 T Small Hose Connections* _r 13.5.6.2.2 04/01/16 NA * Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class I, 11, or III standpipe systems. Form AES 2.2 Sept. 3, 2013 I =Inspection T =Test M Maintenance P=Pass F=Fall NIA=A16tApplicable Ite 7 7 iscirlpt on R 3.1 M Check Valves - Internal inspection 13.4.2 04/01/16 N/A 3.2 M Control Valves 13.3.4 04/01/16 P 3.3 M JFDC - Backfiush 14.3.2.3 14.3.2.4 04/01/16 P 3.4 M Internal Pipe Inspection - See Deficiencies and 14.2 04/01/16 RNo Yes-, N/A Comments Section for Results. 3.5 M Obstruction Investigation Required. If "Yes", see 14.3 04/01/16 N/A Deficiencies and Comments Section for Results . W] YeNos 3.61 M I System Returned to Service 4.5.3 04/01/16 [:] D = Deficiency C = Comment (Indicate type) PO p00 iin-Ok atw6ho4enalre -Ott" 1.20 4/1/16 1 X 2 - Replace corroded Tyco 1550 QR V2" wht concealed & lower 1/2" on -outside overhang entrance 1.20 4/1/16 1 X 2 - Replace corroded Tyco 155' QR Y2" wht concealed main entrance marked w/ X 1.20 4/1/16 1 X 1 - Replace corroded Tyco 155' QR chr W k=1 1.2 SR in front cubical by receptionist in 100 1.20 4/1/16 1 X 1 - Replace corroded Tyco 1550 QR chr W W 1.2 SR in office next to whit cabinets 100 1.20 4/1/16 1 X 4 - Replace corroded Tyco 155* QR Y2" chr SR in 220A 1.20 4/1/16 1 X 1 - Replace corroded Tyco 1550 QR Y2" chr SR big office are of 220A 1.20 4/1/16 1 x 1 - Replace corroded Tyco 1550 QR V2" chr SR in s - mall office 220A 1.20 4/1/16 1 X 2 - Replace corroded Tyco 1550 QR 1/2" chr SR in break room 220A 1.20 4/1/16 1 X 1 - Replace corroded Tyco 155* QR chr 1/4" W 1.2 SR front of break room suite 375 1.20 4/1/16 1 X I - Replace corroded Tyco 155* QR chr W W 1.2 SR 1st office-rt lobby in suite 300 1.20 4/1/16 1 X 1 - Replace corroded Tyco 1550 QR chr W W 1.2 SR in hallway 2nd head lobby 1.20 4/1/16 1 X 1 - Replace corroded Tyco 155* QR chr 3/4" W 1.2 SR in vacant office 1.20 4/1/16 1 X 1 - Replace corroded Tyco 155* QR chr W W 1.2 SR in Douglas office glass table 1.20 4/1/16 1 X 4 - Replace corroded Tyco 155' QR chr W k=1 1.2 SR office at end of hall in suite 325 W1 Check here if additional Deficiencies and Comments are listed on Form AES 9 Number attached: 1 W1 See Correction Form AES 10 for corrected deficiencies. Number attached: 2 I hereby certify that the fire protection equipment listed above has been fully inspected, tested, and maintained on this date by the company indicated above, in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable except as noted in the "Deficiencies and Comments" section of this form. Print Name Jesse Maldonado Signature i tr Date 04108/16 Form AES 2.2 AUG 2 6,2016 Sept. 3, 2013 Continuation Form California Code of Regulations - Title 19 for Inspection, Deficiencies and Comments Property Information ��CP C`tt��o Contractor or Licensed Owner Information a`r 9y A � ARE Mp Building Name Birch Medical Office Center Name Orange County Fire Protection a Address 20162 SW Birch Street Address 137 W. Bristol Lane 20162 SW Birch Street City Orange St. CA Zip 92865 City Newport Beach License # 326604 Phone (714) 974-9025 Contact Person Candie Huang ■❑ SFM E0422 Job # Phone (949) 288-1828 ❑■ CSLB C10 & C16 Misc. Yps: of Sys m •: •.; .:=- . •� : - •: ..r..:,-:.:.., .., ..> ... .. • - : -. . ❑ Sprinkler System ■ Automatic ❑ Water Storage Tank System Riser ID 1 ❑ Water Spray System ❑ Standpipe & Hose System System Riser ID System Riser ID ❑ Foam -Water System ❑ Private Water Supply System System Riser ID D = Deficiency *C = Comment (Indicate type) Deficiencies and Comments 0 Item Date Riser D C Indicate a// equipment, devices and parts that were repaired or replaced 1.20 04/01/16 1 ✓ 3 — Replace painted Tyco wht concealed covers next to elevator near front entrance 1.20 04/01/16 1 1 — Replace silicone Tyco wht concealed cover by front door marked w/ x 1.20 04/01/16 1 ✓ 1 — Replace painted Tyco wht concealed cover in suite 150 front restroom 1.5 04/01/16 1 1 — Replace bottom gauge on riser and retest main drain 1.13 04/01/16 1 1 — Provide plastic pug for FDC 1.13 04/01/16 1 1 — Paint FDC fire safety red 1.2 04/01/16 1 1 — Provide lock for sectional PIV 1.1 04/01/16 1 ✓ 1 — Provide control valve sign for PIV 1.3 04/01/16 1 7 1 — Provide bell sign 1.3 04/01/16 1 1 — Remove birds nest from bell 1.12 04/01/16 1 ✓ 1 — Provide Tyco TY3531 concealed wrench for Spare Head Box (SHB) 1.12 04/01/16 1 1 — Provide RC1 wrench for SHB 1.12 04/01/16 1 ✓ 1 — Provide Tyco w-type 7 wrench for SHB 1.12 04/01/16 1 ✓ 2 — Provide Tyco 155° QR 3/" chr SSP k=11.2 for SHB 1.12 04/01/16 1 ✓ 1 — Provide Tyco 3/4" SR wrench for SHB 1.12 04/01/16 1 7T71 2 — Provide Rasco Mod G4 FR 165* QR W concealed head for SHB 1.12 04/01/16 1 1 — Provide Rasco Mod G4 FR wrench for SHB Above repairs completed on 7-25-2016 by Josh & Tim of Orange County Fire Protection System Certified (Five Year) dated 7-2016 by Orange County Fire Protection AUG 2 6 2016 Form AES 9 Sept. 3, 2013 Deficiency C = Comment(indicatetype) Item Date Riser D C Deficiencies and Comments (coat.) Indicate all equipment. devices and parts that were repaired or replaced ==MNIM ===I■ IN ==MNIM ==MIN IM ===® IN ==MNIM ==MINIM ==MNIM ==M■IM see Correction I hereby certify that the fire protection equipment listed above has been fully Inspected, tested, and maintained on this date by the company Indicated above, in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable except as noted in the "Deficiencies and Comments" section of this form. Print Name Jesse Maldonado Signature inV_ Date 04/08/16 Form AES 9 Sept. 3, 2013 Corrective Action California Code / Regulations and Repairs Performed Inspection, Testing, and Maintenance of I Property Information of CAjr�o ARE' Contractor or Licensed Owner Information Building Name Birch Medical Office Center Name Orange County Fire Protection Address 20162 SW Birch Street Address 137 W. Bristol Lane 20162 SW Birch Street City Orange St. -CA Zip 92865 City Newport Beach License # 326604 Phone (714) 974-9025 Contact Person Candle Huang W SFM E0422 Job # Phone (949) 288-1828 In CSLB C10 & C16 IMisc. Item 1.20 AES Form # 2.2 Date Found 04/01/16 Date Corrected 07/25/16 Deficiencies Indicate all equipment devices and parts that were repaired.replaced 2 - Replace corroded Tyco 155° QR %2' wht concealed & lower %Z' on outside overhang entra 1.20 2.2 04/01/16 07/25/16 2 - Replace corroded Tyco 155' QR'/2' wht concealed main entrance marked w/ X 1.20 2.2 04/01/16 07/25/16 1 - Replace corroded Tyco 155° QR chr W k=11.2 SR in front cubical by receptionist in 100 1.20 2.2 04/01/16 07/25/16 1 - Replace corroded Tyco 155° QR chr 3/" k=11.2 SR in office next to whit cabinets 100 1.20 2.2 04/01/16 07/25/16 4 - Replace corroded Tyco 1550 QR'/2" chr SR in 220A 1.20 2.2 04/01/16 07/25/16 1 - Replace corroded Tyco 1550 QR'/2" chr SR big office are of 220A 1.20 2.2 04/01/16 07/25/16 1 - Replace corroded Tyco 155° QR W chr SR in small office 220A 1.20 2.2 04/01/16 07/25/16 2 - Replace corroded Tyco 155' QR %" chr SR in break room 220A 1.20 2.2 04/01/16 07/25/16 1 - Replace corroded Tyco 1550 QR chr'/," k=11.2 SR front of break room suite 375 1.20 2.2 04/01/16 07/25/16 1 - Replace corroded Tyco 1550 QR chr W k=11.2 SR 1st office rt lobby in suite 300 1.20 2.2 04/01/16 07/25/16 1 - Replace corroded Tyco 1550 QR chr W k=11.2 SR in hallway 2nd head lobby 1.20 2.2 04/01/16 07/25/16 1 - Replace corroded Tyco 155° QR chr 3/" k=11.2 SR in vacant office 1.20 2.2 04/01/16 07/25/16 1 - Replace corroded Tyco 155° QR chr W k=11.2 SR in Douglas office glass table 1.20 2.2 04/01/16 07/25/16 4 - Replace corroded Tyco 1550 QR chr 3/4' k=11.2 SR office at end of hall in suite 325 F I hereby certify that the fire protection equipment listed above has been corrected in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable. ;:.. Bui(diOg,Representaiwe -.":; ..`; ° = _ .Teehiiician„ Candie Huang Jesse Maldonado �;- - ... _ ;�:�.: �-Da•fe..- ,:Si`";iaiure'"- ,. .Date ... , . 07/26/16 %2_ 07/25/16 AUG 2 6 2016 Form AES 10 Sept. 3, 2013 Corrective..- of Regulations of Repairsand • Property Information S�pF CA4 tiQ' 9Z SAE MP Contractor or Licensed Owner Information Building Name Birch Medical Office Center Name Orange County Fire Protection Address 20162 SW Birch Street Address 137 W. Bristol Lane 20162 SW Birch Street City Orange St. CA Zip 92865 City Newport Beach License # 326604 Phone (714) 974-9025 Contact Person Candie Huang 0 SFM E0422 Job # Phone (949) 288-1828 0 CSLB C10 & C16 IMisc. Item 1.20 AES Form # 9 Date Found 04/01/16 Date Corrected 07/25/16 Deficiencies indicate all equipment devices and parts that were repaired or replaced 3 - Replace painted Tyco wht concealed covers next to elevator near front entrance 1.20 9 04/01/16 07/25/16 1 - Replace silicone Tyco wht concealed cover by front door marked w/ x 1.20 9 04/01/16 07/25/16 1 - Replace painted Tyco wht concealed cover in suite 150 front restroom 1A, 9 1 04/01/16 07/25/16 1 - Repla a bottom gauge on riser and retest main drain 1.13 9 04/01/16 07/25/16 -1 ---------- 1 - Provide plastic pug for FDC 1.13 9 04/01/16 07/25/16 ` 1 - Paint FDC fire safety red 1.2 9 04/01/16 07/25/16 1 - Provide lock for sectional PIV 1.1 9 04/01/16 07/25/16 1 - Provide control valve sign for PIV 1.3 9 04/01/16 07/25/16 1 - Provide bell sign 1.3 9 04/01/16 07/25/16 1 - Remove birds nest from bell 1.12 9 04/01/16 07/25/16 1 - Provide Tyco TY3531 concealed wrench for Spare Head Box (SHB) 1.12 9 04/01/16 07/25/16 1 - Provide RC1 wrench for SHB 1.12 9 04/01/16 07/25/16 1 - Provide Tyco w-type 7 wrench for SHB 1.12 9 04/01/16 07/25/16 2 - Provide Tyco 1550 QR W chr SSP W 1.2 for SHB 1.12 9 04/01/16 07/25/16 1 - Provide Tyco 3/" SR wrench for SHB 1.12 9 04/01/16 07/25/16 2 - Provide Rasco Mod G4 FR 165° QR W concealed head for SHB 1.12 9 04/01/16 07/25/16 1 - Provide Rasco Mod G4 FR wrench for SHB AUG 2 1 hereby certify that the fire protection equipment listed above has been corrected ccordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable. I<Bu/(drng Representative. _': ; : _ . <T ch ;, nician Candle Huang Jesse Maldonado Sigr►afure . - - : "..w a .D te: Sigria ure-> 07/25/16 %s7„_ 07/25/16 Form AES 10 Sept. 3, 2013 E' f 4, --••••� � cosco i Fire Protection. cv-u�- acc -1�b 41� vm, 3 Inspection, Testing, and Maintenance Cover Sheet NFPA 25 as amended by CCR, Title 19 v7 Cosco Wo 1510-2169 Property Information: Name: NEWPORT MEDICAL Occupancy/Use: Business of oaCi,�o� Construction Type: 11 B Address: 360 SAN MIGUEL A No. Stories: 7 City: NEWPORT BEACH CA Year Constructed: 1985 ..-/Q ARE Mph Zip: 92660 Monitoring Company: ENG POSTED Contact: ROB GRAVES Phone Number: N/A Phone: 949-279-1257 Time system off-line: 5:OOam Time system on-line: 2:OOpm Contractor Information: Name: COSCO FIRE PROTECTION Address: 1075 W LAMBERT ROAD BLDG D City: BREA State: CA 92821 Phone: 714-989-1800 CA License# C-10/C-16-577621 Job # 1510-2169 Performed by: ROBERT HARRIS (Print) Note: Contractor information may be pre-printed 1-8 WET Number of System Risers Copy sent to: Owner Date Fire AHJ Contractor 12/02/2015 NOTES: 1) For specific inspection, testing, and maintenance requirements and information, see NFPA 26, 2002 Edition as amended by California Code of Regulations, Title 19, 901 to 906. 2) Inspection Items may be performed by the Owner in accordance with California Code of Regulations Title 19 901.1(a) Forms included with the report NFPA 25 Chapter Number of Forms N/A FAIL* PASS 21Automatic Sprinkler System 5 Quarterly ❑ R ❑ Standpipe and Hose Systems 6 R ❑ ❑ ❑ Private Water Supply System 7 R ❑ ❑ ❑ Fire Pump 8 R1 ❑ ❑ ❑ Water Storage Tank 9 R1 ❑ ❑ ❑ Water Spray System 10 R ❑ I ❑ ❑ Foam Water Sprinkler System 11 1z ❑ I ❑ *See "Deficiencies and Comments" section at end of each respective form> d '- } cosco Fire Protection Inspection, Testing, Maintenance Fire Sprinkler Systems NFPA 25, Chapter 5 as amended by CCR, Title 19 Cosco WO 1510-2169 Date Inspection, Testing, Maintenance: 12/02/2015 Date Last Five Year Inspection: 05/09/2015 ❑ Unknown Property Information: Name: NEWPORT MEDICAL Address: 360 SAN MIGUEL City: NEWPORT BEACH CA Zip: 92660 System Riser ID: 1-8 WET =requency:Quarterly Type of System: 0 Wet Pipe ❑ Dry Pipe ❑ Preaction ❑ Deluge Page 1 of 41 AES 2 Main Drain Test Results: Initial Static Pressure: DID NOT TEST (psi) Residual Pressure: DID NOT TEST (psi) Restored Static Pressure: DID NOT TEST (psi) Recovery Time: DID NOT TEST (sec) Abbreviation Key: I = Inspection T = Test M = Maintenance A-O = After Operation MI = Per Manufacturer's Instructions Item Activity Frequency Description NFPA25 Reference Fail N/A Pass 1.1 1 Daily Weekly PREACTION/DELUGE VALVES - ENCLOSURE TEMPERATURE 12.4.3.1 ❑ ❑Q ❑ 1.2 1 Daily Weekly DRY PIPE VALVES - ENCLOSURE TEMPERATURE 12.4.4.1.1 ❑ ❑ 1.3 1 Quarter) y GAUGES ( DRY, PREACTION, DELUGE SYSTEMS) 5.2.4.2 5.2.4.3 ❑ ❑ ❑ 1.4 1 Quarterly CONTROL VALVES 12.3.2.1 ❑ ❑ 1.5 1 Quarterly ALARM - DEVICES 5.2.6 ❑ ❑ R 1.6 1 Quarterly GAUGES (WET PIPE SYSTEMS) 5.2.4.1 ❑ ❑ E-11 1.7 1 Quarterly HYDRAULIC NAMEPLATE 5.2.7 ❑ ❑ R 1.8 1 Quarterly PIPE AND FITTINGS 5.2.2 ❑ ❑ 0 1.9 1 Quarterly SPRINKLERS 5.2.1 ❑ ❑ 2 1.10 1 Quarterly SPARE SPRINKLERS 5.2.1.3 ❑ ❑ R 1.11 1 Quarterly FIRE DEPARTMENT CONNECTIONS 12.7.1 ❑ ❑ ❑� 1.12 1 Quarterly ALARM VALVES - EXTERIOR INSPECTION 12.4.1.1 ❑ 0 ❑ 1.13 1 Quarterly PREACTION/DELUGE VALVES - EXTERIOR INSPECTION 12.4.3.1.6 ❑ ❑ 1.14 1 Quarterly PRESSURE REDUCING VALVES 12.5.1.1 ❑ 0 ❑ 1.15 1 Quarterly DRY PIPE VALVES - EXTERIOR INSPECTION 12.4.4.1.4 ❑ 0 ❑ 1.16 I Quarterly BACKFLOW PREVENTERS 12.6.1 ❑ ❑ 0 1.17 I Annually BUILDINGS 5.2.5 ❑ R ❑ cost y Fire Protection Inspection, Testing, Maintenance Fire Sprinkler Systems Page 2 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 Cosco WO 1510-2169 AES 2 Date of Inspection, Testing, Maintenance: 12/2/2015 System Riser ID: 1-8 WET Frequency: Quarterly Property Information: Type of System: IF ca�,�o Name: NEWPORT MEDICAL Wet Pipe y sy Address: 360 SAN MIGUEL ❑ Dry Pipe 9 P City: NEWPORT BEACH CA ❑ Preaction RE MP Zip: 92660 ❑ Deluge Item Activity Frequency Description NFPA25 Reference Fail N/A Pass 1.18 1 Annually HANGERS 5.2.3 ❑ Q ❑ 1.19 1 Annually SEISMIC BRACES 5.2.3 ❑ 0 ❑ 1.20 1 5 year HANGERS (Accessible Concealed Spaces) 5.2.3.3 ❑ Q ❑ 1.21 1 5 year y SEISMIC BRACES (Accessible Concealed Spaces) 5.2.3.3 ❑ ./ ❑ ❑ 1.22 1 5 year y PIPE AND FITTINGS (Accessible Concealed Spaces) 5.2.2.3 ❑ ❑ ❑ 1.23 1 5 year SPRINKLERS (Accessible Concealed Spaces) 5.2.1.1.4 ❑ R ❑ 1.24 1 5 year ALARM VALVES - INTERIOR INSPECTION 12.4.1.2 ❑ Q ❑ 1.25 1 5 year ALARM VALVES - STRAINERS, FILTERS, ORIFICES 12.4.1.2 ❑ Q ❑ 1.26 1 5 year CHECK VALVES - INTERIOR INSPECTION 12.4.2.1 ❑ Q ❑ 1.27 1 5 year y PREACTION/DELUGE VALVES - INTERIOR INSPECTION 12.4.3.1.7 ❑ ❑ El 1.28 1 5 year PREACTION/DELUGE VALVES - STRAINERS, FILTERS, ORIFICES 12.4.3.1.8 ❑ R I ❑ 1.29 1 5 year DRY PIPE VALVES - INTERIOR INSPECTION 12.4.4.1.5 ❑ ❑-- ❑ 1.30 1 5 year y DRY PIPE VALVES - STRAINERS, FILTERS, ORIFICES 12.4.4.1.6 ❑ ./ ❑ 2.1 T Annually ALARM DEVICES (90 SEC) 5.3.3-12.2.7 ❑ ❑ Q 2.2 T Annually MAIN DRAIN TEST (ENTER DATA ON PAGE 1) 12.2.6 12.2.6.1 12.3.3.4 ❑ ❑J ❑ 2.3 T Annually ANTIFREEZE TEST 5.3.4 ❑ ❑J ❑ 2.4 T Annually CONTROL VALVE - POSITION 12.3.3.1 ❑ ❑ Q 2.5 T Annually CONTROL VALVE - OPERATION 12.3.3.1 ❑ ❑ Q 2.6 T Annually SUPERVISORY 12.3.3.5 ❑ ❑ Q 2.7 T Annually PREACTION VALVE - PRIMING WATER 12.4.3.2.1 ❑ Q ❑ 2.8 T AnnuallyPREACTION VALVE - LOW AIR PRESSURE ALARM 12.4.3.2.10 ❑ ./ El 2.9 1 T Annually PREACTION - FULL FLOW TRIP TEST 12.4.3.2.2 ❑ 0 ❑ ..••... i COSCO Fire Protection Inspection, Testing, Maintenance Fire Sprinkler Systems NFPA 25, Chapter 5 as amended by CCR, Title 19 WO 1510-2169 Inspection, Testing, Maintenance: 12/2/2015 Property Information: Name. NEWPORT MEDICAL Address: 360 SAN MIGUEL City: NEWPORT BEACH CA 92660 System Riser ID: 1-8 WE =requency: Quarterly Type of System: 0 Wet Pipe ❑ Dry Pipe ❑ Preaction ❑ Deluge Page 3 of AES 2 Item Activity Frequency Description NFPA 25 Reference Fail N/A Pass 2.10 T Annually DRY PIPE VALVE - PRIMING WATER 12.4.4.2.1 ❑ 2 ❑ 2.11 T Annually DRY PIPE VALVE - LOW AIR PREASSURE 12.4.4.2.6 ❑ ❑� ❑ 2.12 T Annually DRY PIPE VALVE - QUICK -OPENING DEVICE 12.4.4.2.4 ❑ ❑ 2.13 T Annually DRY PIPE VALVE - TRIP TEST 12.4.4.2.2 ❑ 9 ❑ 2.14 T Annually BACKFLOW PREVENTER ASSEMBLIES 12.6.2 ❑ ❑ 2.15 T 3 year DRY PIPE VALVE - FULL FLOW TRIP TEST 12.4.4.2.2.2 ❑ ❑ 2.16 T 5 year GAUGES 5.3.2 ❑ 0 ❑ 2.17 T 5 year PRESSURE REDUCING VALVES 12.5.1.2 ❑ 1q_1 ❑ 2.18 T 5 year y FIRE DEPARTMENT CONNECTION BACKFLUSH 12.7.4 ❑ ❑ ❑ 2.19 T 5 year SPRINKLERS - EXTRA HIGH TEMPERATURE 5.3.1.1.1.3 ❑ ❑ 2.20 T 5 year SPRINKLERS - CORROSIVE ENVIRONMENT OR CORROSIVE WATER 5.3.1.1.2 ❑ ❑ 2.21 T 10 year SPRINKLER - DRY 5.3.1.1.1.5 ❑ 0 ❑ 2.22 T 20 year SPRINKLERS - FAST RESPONSE 5.3.1.1.1.2 ❑ 2 ❑ 2.23 T 50 year SPRINKLERS 5.3.1.1.1 ❑ 0 ❑ 2.24 T 75 year SPRINKLERS 75 YEARS IN SERVICE 5.3.1.1.1.4 ❑ 2 ❑ 2.25 T SPRINKLERS MANUFACTURED PRIOR TO 1920 - REPLACE 5.3.1.1.1.1 ❑ R ❑ 3.1 M Annually CONTROL VALVES 12.3.4 ❑ ❑ 0 3.2 M Annually PREACTION/DELUGE VALVES 12.4.3.3.2 ❑ F-71 ❑ 3.3 M Annually DRY PIPE VALVES/QUICK-OPENING DEVICES 12.4.4.3.2 ❑ ❑ 3.4 M Annually DRY PIPE VALVE - LOW POINT DRAINS 12.4.4.3.3 ❑ ❑ 3.5 7�M 5 year OBSTRUCTION INVESTIGATION Chapter 13 ❑ ❑ -•••••• ' COSCO Fire Protection Inspection, Testing, Maintenance Fire Sprinkler Systems Page 4 of 4 NFPA 25, Chapter 5 as amended by CCR, Title 19 Cosco WO 1510-2169 AES 2 Date Inspection, Testing, Maintenance: 12/2/2015 Property Information: Name:NEWPORT MEDICAL Address: 360 SAN MIGUEL City: NEWPORT BEACH CA Zip: 92660 System Riser ID: 1-8 WET Frequency: Quarterly C�or-CA4��o Type of System: ❑Wet Pipe a ❑ Dry PipetE Mp` ❑ Preaction ❑ Deluge Item Deficiencies and Comments Item number must correspond to the Item number of the Activity listed above: Comments: EXERCISED ALL CONTROL VALVE TAMPER'S AND WATER —FLOW DEVICE'S TO F.A.C.P. PANEL ONLY. 0 PASS ❑ FAIL ❑ See continuation Page(s) 0 (Indicate the number of continuation pages) LIABILITY RELEASE STATEMENT: The Owner and/or its designated representative acknowledge that the Owner has full responsibility for the operating condition of the fire protection system(s) including its component parts at the time of this inspection. This inspection/test report is governed by terms and conditions of Cosco Fire Protection Inspection signed agreement. Without in any way limiting such terms and conditions, the Owner acknowledges that the Contractor does not have any obligation to correct any deficiencies Contractor has identified in report and Owner shall have full responsibility for corrections of any such deficiencies. As an additional service, however, the Owner and/or its designated representative may enter into a separate, written repair or maintenance contract with Contractor for the correction of such deficiencies. During our work in your building, our representatives may have noticed items on your fire protection system that may need further investigation. These items are not part of the normal NFPA Standards inspection, testing or maintenance functions, but we are providing you with notice of these concerns as a courtesy. This does not constitute or represent that we have performed a full analysis of fire protection system(s) in this building and there may be other items of concern that we have not identified because this type of analysis is beyond the scope of what we were hired to do in accordance with NFPA Standards. Customer Name Inspector Name ROBERT HARRIS Customer Signature Not Available ❑ Inspector Signature Date Date 12/2/2015 ....... ? cosco Fire Protection Inspection, Testing, Maintenance Fire Sprinkler Systems AES 9 NFPA 25, Chapter 5 as amended by CCR, Title 19 Continuation Form for Deficiencies and Comments Cosco WO 1510-2169 Page Date Inspection, Testing, Maintenance: 12/2/2015 Property Information: Name: NEWPORT MEDICAL Address: 360 SAN MIGUEL City: NEWPORT BEACH CA Zip:92660 Frequency: Quarterly Type of System: IF ca�,a Sprinkler (Chapter 5) Standpipe (Chapter 6) 07q Syst. Riser ID: 1-8 WET P X Private Fire Main (Chapter 7) E MP Fire Pump (Chapter 8) Fire Pump No. or ID: Water Storage Tank (Chapter 9) Water Spray System (Chapter 10) System Riser ID: 1-8 WET Foam -Water System (Chapter 11) System Riser ID: 1-8 WET Item IDeficiencies and Comments Item number must correspond to the Item number of the Activity listed above: LIABILITY RELEASE STATEMENT: The Owner and/or its designated representative acknowledge that the Owner has full responsibility for the operating condition of the fire protection system(s) including its component parts at the time of this inspection. This inspection/test report is governed by terms and conditions of Cosco Fire Protection Inspection signed agreement. Without in any way limiting such terms and conditions, the Owner acknowledges that the Contractor does not have any obligation to correct any deficiencies Contractor has identified in report and Owner shall have full responsibility for corrections of any such deficiencies. As an additional service, however, the Owner and/or its designated representative may enter into a separate, written repair or maintenance contract with Contractor for the correction of such deficiencies. During our work in your building, our representatives may have noticed items on your fire protection system that may need further investigation. These items are not part of the normal NFPA Standards inspection, testing or maintenance functions, but we are providing you with notice of these concerns as a courtesy. This does not constitute or represent that we have performed a full analysis of fire protection system(s) in this building and there may be other items of concern that we have not identified because this type of analysis is beyond the scope of what we were hired to do in accordance with NFPA Standards. Customer Name Inspector Name ROBERT HARRIS Customer Signature Inspector Signature Date Date 12/2/2015 _ .wi7F�'fC.-v'':'--•"3£eeFin.:fi'v,=`t�+'.;i^yS7` :Sk.Y:�tri e.: y: -'•i:-,,'xh�,�.Sy;^�..:^"£�%ar,"}"i �'riTF"•5:�: ��z a'.M1 .1'A-'-t^..s�a.YfiY{y6Kwb.�.°S.i �. Y.M,?-:�?� .4H^.SwS In 4�S`hF'^d y.'K:Q a..vil°-'.... aV'ri`.?.. `sm.`✓(Y. .I'ii' •Pi-`�'+ti,'ri. •.K�-:*�[.. _S'- JF t�.ze'.'h°� fie`t' �OCJ CiO 'S���e3. .t�.i ;y4+t��. _,y.>v"'( C.r RN.i' ..+rsi.� �?'..,u't?<,•.�:y,,y'"-+ ,.. =`6 t:_. t . ' :: r.,. 3 .... Fire Protection `; !' ��;�.-==�t����C•omments�andi�Re„commen'dations��::,M����:.:�cos�;wov951.0-2169;.•_���;�%,�.:_ r�r-F: Although these comments are not the results of any engineering review, the following improvements are recommended. Tech Note: System Descriptions: LIABILITY RELEASE STATEMENT: The Owner and/or its designated representative acknowledge that the Owner has full responsibility for the operating condition of the fire protection system(s) including its component parts at the time of this inspection. This inspection/test report is governed by terms and conditions of Cosco Fire Protection Inspection signed agreement. Without in any way limiting such terms and conditions, the Owner acknowledges that the Contractor does not have any obligation to correct any deficiencies Contractor has identified in report and Owner shall have full responsibility for corrections of any such deficiencies. As an additional service, however, the Owner and/or its designated representative may enter into a separate, written repair or maintenance contract with Contractor for the correction of such deficiencies. During our work in your building, our representatives may have noticed items on your fire protection system that may need further investigation. These items are not part of the normal NFPA Standards inspection, testing or maintenance functions, but we are providing you with notice of these concerns as a courtesy. This does not constitute or represent that we have performed a full analysis of fire protection system(s) in this building and there may be other items of concern that we have not identified because this type of analysis is beyond the scope of what we were hired to do in accordance with NFPA Standards. Customer Name Inspector Name ROBERT HARRIS Customer Signature Inspector Signature Date Date 12/2/2015 S, � c, � c, � R, � S, � S, � N � S! � F, � S, � S, ♦ ♦, / S, / S, ♦ S, ♦ '�, / S, ♦ c, I '�, ♦ '�, ♦ , ♦ t ♦ �1 ♦ S, ♦ R;�►K`�► `! ►R, �IK; �►K`�►`��►R:I ►'R��►K�17►R�7I K�I ►K�7►R�j/►R�� ►I.�j1►`1�1►Y.�1�1►`�I►`1�1►`\ICI►`\j!►'I. \17► �I� S� S� �1 Fire Alarm and Life Safety System Inspection Certificate For Rhodes Development Building #4 360 San Miguel Drive Newport Beach, CA 92660 Tested to NFPA 72 Standards This Inspection was performed in accordance with applicable NFPA Standards. The subsequent pages of this report provide performance measurements, listed ranges of acceptable results, and complete documentation of the inspection. Whenever discrepancies exist between acceptable performance standards and actual test results, notes and/or recommended solutions have been proposed or provided for immediate review and approval. Inspection Date Feb 16, 2016 Building: Rhodes Development Building #4 Company: Advanced Alarm, Inc. Contact: Carrie Duffy Contact: Rejean Royer Title: Office Manager Title: Project Mgr Executive Summary Generated by: BuildingReports.com Building: Rhodes Development Building #4 Address: 360 San Miguel Drive Address: City/State/Zip: Newport Beach, CA 92660 Country: United States of America Company: Advanced Alarm, Inc. Address: 13128 Telegraph Rd. #H Address: City/State/Zip: Sante Fe Springs, CA 90670 Country: United States of America Manufacturer: Silent Knight Model Number: IFP-1000 Software Version: 10.3 Location: 1 st Fire Alarm Control Room Company: Mace Central Station Services Type: Digital Communicator Test Time/Date: Contact: Carrie Duffy Phone:949-644-0603 Fax: Mobile: Email: CDuffy@rhodesdev.net Inspector: Rejean Royer Phone: (562)944-2356 Fax: (562)944-271 5 Mobile: (951)515-1458 Email: rejean@weprotectall.com Inspection Date: Install Date: 02/19/2014 Version Date: 02/19/2014 Current Protection: Breaker Phone:800-228-0580 Mfg: Silent Knight Restore Time Account #: IDC Style: SLC Style: NAC Style: Y Model #: IFP-1000 Advanced Alarm, Inc. l 02/21/2016 ti-a.4p�'flh: FS�EMY9i''•P•!9@lltw'� ull Ir .§`-h ,4ekF - 1 _ A 7,F ®the"rdLM11JSupervisory m lePasse 0%0% 0 8 6.67% 0 0% Auxiliary 3 2.50% 0 0% 0 0% 0 0% Sound Test 11 9.17% 0 0% 0 0% 0 0% Indicating 1 0.83% 0 0% 0 0% 0 0% Initiating 63 52.50% 41 65.08% 41 100.00% 0 0% Control 34 28.33% 0 0% 0 0% 0 0% f�otal r 1. 160�W,109n 4796 i1 r o �99�4 �WOs_�•'I� 1�W Fl�G;�x. fS;,1A F=S4'yy-r '''0i?y RPM 1 r. w, A :1�: Vl�jli;l� �w{� Y1VEi�r a"N' ,y7,77,'gpa sl (I; ;e;n;��711i' ,F7li per. litYi%; FAil I q� h}' =L�'„ p Company: Advanced Alarm, Inc. Building: Rhodes Development Building #4 Inspector: Rejean Royer Contact: Carrie Duffy Signed: Signed: ,,L 1 �1�'i � �! �11�5'✓�1✓� � �` Ijivq _ ��� �'�ji{ j lip �If-N �' ��!'„�10�''.u71Y• - '�� Y. '�`N�Nn�l2Y,��Ii6� } f�'� '1 • �ii i:`I' zV�*'L ,BEY �'i n d L�''u'�''!�'!,'y:.?}YI " IA31 ' 'ul tryq� �''4 Ilvl i r k Y Nu, M be I Advanced Alarm, Inc. 2 02/21/2016 Inspection & Testing Generated by: BuildingReports.com The Inspection & Testing section lists all of the items inspected in your building. Items are grouped by Passed or Failed/Other. Items are listed by Category. Each item includes the services performed, and the time & date at which testing occurred. Pull Station 1 st Fire Alarm Control Room Tested 11:49:04 AM 02/16/2016 Pull Station 2nd Elevator Lobby Tested 9:33:08 AM 02/16/2016 Pull Station 2nd North Corridor Tested 9:38:51 AM 02/16/2016 Pull Station 2nd South Corridor Tested 9:34:38 AM 02/16/2016 Pull Station 3rd North Corridor Tested 10:09:47AM 02/16/2016 Pull Station 3rd South Corridor Tested 10:06:14 AM 02/16/2016 Pull Station 4th Elevator Lobby Tested 10:19:59 AM 02/16/2016 Pull Station 4th South Corridor Tested 10:20:39 AM 02/16/2016 Pull Station 4th South Corridor Tested 10:39:38 AM 02/16/2016 Pull Station 5th Elevator Lobby Tested 10:53:55 AM 02/16/2016 Pull Station 5th South Corridor Tested 10:45:25 AM 02/16/2016 Pull Station 5th South Corridor Tested 10:48:27 AM 02/16/2016 Pull Station 6th Elevator Lobby Tested 11:00:06 AM 02/16/2016 Pull Station 6th South Corridor Tested 11:02:12 AM 02/16/2016 Pull Station 6th South Corridor Tested 11:19:44 AM 02/16/2016 Pull Station 7th Elevator Lobby Tested 11:29:51 AM 02/16/2016 Pull Station 7th South Corridor Tested 11:30:29 AM 02/16/2016 Pull Station 7th South Corridor Tested 11:31:15 AM 02/16/2016 Smoke Detector 2nd Corridor Tested/Cleaned 9:34:46AM 02/16/2016 Smoke Detector 2nd Corridor Tested/Cleaned 9:38:30 AM 02/16/2016 Smoke Detector 2nd Corridor Tested/Cleaned 9:38:48 AM 02/16/2016 Smoke Detector 2nd Elevator Lobby Tested/Cleaned 9:33:17AM 02/16/2016 Smoke Detector 3rd Corridor Tested/Cleaned 10:07:22 AM 02/16/2016 Smoke Detector 3rd Corridor Tested/Cleaned 10:07:39AM 02/16/2016 Smoke Detector 3rd Corridor Tested/Cleaned 10:11:17 AM 02/16/2016 Smoke Detector 4th Corridor Tested/Cleaned 10:20:45 AM 02/16/2016 Smoke Detector 4th Corridor Tested/Cleaned 10:23:19AM 02/16/2016 Smoke Detector 4th Corridor Tested/Cleaned 10:39:43 AM 02/16/2016 Smoke Detector 4th Elevator Lobby Tested/Cleaned 10:20:05 AM 02/16/2016 Smoke Detector 5th Corridor Tested/Cleaned 10:45:23 AM 02/16/2016 Smoke Detector 5th Corridor Tested/Cleaned 10:46:44 AM 02/16/2016 Smoke Detector 5th Corridor Tested/Cleaned 10:48:22 AM 02/16/2016 Smoke Detector 5th Elevator Lobby Tested/Cleaned 10:54:05 AM 02/16/2016 Smoke Detector 6th Corridor Tested/Cleaned 11:17:32 AM 02/16/2016 Smoke Detector 6th Corridor Tested/Cleaned 11:18:12 AM 02/16/2016 Smoke Detector 6th Corridor Tested/Cleaned 11:19:47AM 02/16/2016 Smoke Detector 6th Elevator Lobby Tested/Cleaned 11:00:03 AM 02/16/2016 Smoke Detector 7th Corridor Tested/Cleaned 11:30:11 AM 02/16/2016 Advanced Alarm, Inc. 3 02/21/2016 Smoke Detector 7th Corridor Tested/Cleaned 11:30:25 AM 02/16/2016 Smoke Detector 7th Corridor Tested/Cleaned 11:31:46 AM 02/16/2016 Smoke Detector 7th Elevator Lobby Tested/Cleaned 11:29:56 AM 02/16/2016 Fan Shutdown Supply Fan Fan Start Stairwell #1 Pressure Fan Fan Start Stairwell #2 Pressure Fan Battery 1 st Fire Alarm Control Room - Fire Panel Battery 1 st Fire Alarm Control Room - Panel VIP-50 02 Battery 1 st Fire Alarm Control Room - Panel VIP-50 03 Communicator 1 st Fire Alarm Control Room Control Panel 1 st Fire Alarm Control Room Handset 1 st Fire Alarm Control Room Handset 1 st Fire Alarm Control Room Handset 1 st Fire Alarm Control Room Handset 1 st Fire Alarm Control Room Handset 1 st Fire Alarm Control Room Handset 1 st Fire Alarm Control Room Phone Jack 1 st Elevator Lobby Phone Jack 1 st North Stairwell Phone)ack 1 st South Stairwell Phone Jack 2nd Elevator Lobby Phone Jack 2nd North Stairwell Phone Jack 2nd South Stairwell Phone Jack 3rd Elevator Lobby Phone Jack 3rd North Stairwell Phone Jack 3rd South Stairwell Phone Jack 4th Elevator Lobby Phone Jack 4th Elevator Lobby Phone Jack 4th South Stairwell Phone Jack 5th Elevator Lobby Phone Jack 5th Elevator Lobby Phone Jack 5th South Stairwell Phone Jack 6th Elevator Lobby Phone)ack 6th North Stairwell Phone Jack 6th South Stairwell Phone Jack 7th Elevator Lobby Phone Jack 7th North Stairwell Phone Jack 7th South Stairwell Phone Jack Roof North Stairwell Phone Station 1 st Fire Alarm Control Room - Phone Control Panel Advanced Alarm, Inc. 4 02/21/2016 Bell Duct Detector Pull Station Pull Station Pull Station Pull Station Smoke Detector Smoke Detector Smoke Detector Smoke Detector Smoke Detector Smoke Detector Smoke Detector Smoke Detector Waterflow Switch Waterflow Switch Waterflow Switch Waterflow Switch Waterflow Switch Waterflow Switch Waterflow Switch Waterflow Switch Waterflow Switch Tamper Switch Tamper Switch Tamper Switch Tamper Switch Tamper Switch Tamper Switch Tamper Switch Roof Supply Fan Room 1 st Elevator Lobby 1 st South Lobby 3rd Elevator Lobby Roof North Stairwell 1 st Electrical Room 1 st Elevator Lobby 1 st Fire Alarm Control Room 3rd Elevator Lobby Roof Boiler Room Roof Condensor Room Roof Elevator Machine Room Roof Supply Fan Room 1 st North Stairwell 1 st North Stairwell 2nd North Stairwell 3rd North Stairwell 4th North Stairwell 5th North Stairwell 6th North Stairwell 7th North Stairwell Roof North Stairwell 1 st North Stairwell 2nd North Stairwell 3rd North Stairwell 4th North Stairwell 5th North Stairwell 6th North Stairwell 7th North Stairwell Roof North Stairwel Advanced Alarm, Inc. 5 02/21/2016 Service Summary Generated by: BuildingReports.com Cj 1111,11 REM-1ra 7TheService Summary section provides an overview of the services performed in this report. �1 -E0 V pN ta W I 1E I I �' 4 , , W,liyy q: 11- ru IORP*�RIR A fill" I Pull Station Tested 18 Smoke Detector Tested/Cleaned 23 Total 4 I'll. V, I 011�11`j fill il'!!' -fill! .011 IP 0 No', m I "I'MM04 OT Rr �'Y Battery 3 Bell I Communicator I Control Panel I Duct Detector I Fan Shutdown I Fan Start 2 Handset 6 Phonejack 22 Phone Station I Pull Station 4 Smoke Detector 8 Tamper Switch 8 Waterflow Switch 9 Total 68 Advanced Alarm, Inc. 6 02/21/2016 Auxiliary Functions Testing Generated by: BuildingReports.com The Auxiliary Functions Testing section lists each of the ancillary items, systems, and emergency equipment that are controlled by the system control unit. Items are grouped by Passed or Failed/Other. The items are listed by device type, and a check box is provided to indicate if the test conducted was simulated. - ° "a ,a„r--_:cr, =T,._ „ - -r - -°n=•,—"_p,:d - s= •.+r-,'!,w -, r i:;c; �,i nl,a' a -`�� %h'_4 i1r- „ - ,� �i!, yl'a°lil;'i r. .' ,N.4,q,�lo,"'kip,.`i,utiirs'�,•,i.+„�h,,,;epro•,,:dl.',hii -_, r„F,ii rf y,_,., ;(,;;N., ,, l4,a{, .-,�.!„„i,d o-1,;,.yy i_�LL(f�l t-.�. t"4,tt�rr .6r,, IL'9', !�'+r,�, n�I icl..e�.if,i,,i,', ,Ni,kl6i'-C"=".,,,, , _:dav,ay NAliq ,,IayV'1��y6 ,,..fi-r ro� ,(�1,i't:, �t� �;,4,�8 ,` ; rh `a, f,tlo_ �, ... u, d ,,,�. 1,Gly.u_9�,, II,�.I, ,N',,-'N!+t,I�•�„1 I,,;h�',,!i,4 „lk, h�,11=' 4'.,t_,,, �4 ,r�_-„.,-,�','4, -- N_3 -,.r .,6! ra,,l';'r''I �A'�:+"i,�Sl':,�1 'aril , I r,,.,;{`hull rH„4,�1 ,,r" s'4 -�z, tW_r,'p �hq !„ , i �Nl�N` y`j " �,,.3+iC;�y, Rd,' rt{ !",I i, (ai 11 �At ', I('ry�y, ;Ilµ'�: 14 y', ! r ,t5�kur�i�i."P}arr;rlrxk �''�!_�'�-'`I:'�s�d'!,,k[;asp:�ak�d'�y(,�y,;71yh�,,�!�'t;,,��.tl:l _�'6_I�_r�l„�:i'!�•�rc,�lE,wC �n,�Y��"s�,.,h�flr!t-7r5,f� i„�n'�`fi,,+al�,,,l�, ,{',,,LI�;i,t,, ,.�f�Le, ;�:�tJ,u �:l,�vr,,,�", �.1„II„ , -,,_�, t,,, �,i._„Ji ;, �' aul. tl,a, Srno ®elector . k _ ,.° ,.:nar Elevator Recall 2nd Elevator Lobby Passed 31468279 Elevator Recall 4th Elevator Lobby Passed 31468257 Elevator Recall Sth Elevator Lobby Passed 31468246 Elevator Recall 6th Elevator Lobby Passed •31468237 Elevator Recall 7th Elevator Lobby Passed 31468044 — — - _ - .li,d I: n" and/„ 'il1 lii .a trig • - r:: ^I -' -'•r• ,''I I: 9y'1e,._, r;l+, I.. i �'4 ;I .4„ 1, �!li"s_., .�i: ,_ � '�I,� ri ,,a"rJ', 4 � ��'ribr„ A ,: • wT , 4 .•'_'- i,n !. ,jiu, _ �.•i a ,?.+. •'r .r 1,I_ ,l�n, 4„ lat x �a'II 7'"N'I''il , 1''Y�dJ'"s,�°pp y de, �dl- ., ft „ {';�l, 1,, Jk,+ ,F,,,.t Pl<d 1AN :'=R' -'i. ,� 4, a si__ � �� - .0 ii 4 Y I ,f S�� ,, i'ii4 !•I' 11,-�IG�"i�,'rrrr, ,�!,�.n y„!7.�_'�J �.h, A, ",n,+, •r4' 9 _ I ,-F>?'-',lira_-,t,�i'61`"., Nt✓'ujl,' I •TiP%d,,, ,,z't {,�d•ra- Er' „,G„N, r, m �l _ -r" - . ,.. -� �t w U 7, ,, (fir . ,� , ,j + , -, I!J'1 t-.t. i ':hu, J;,;,_r. _I!, .(t�;F F'w lll;. s,l„'. .Y'u„- i tYf 4I -41,<"IMMIq. rr 1 8j ,�IZ��'.5it :r�r, r,,. S4� 0A, �dds rib s,m,Yi'tI'!>.�'-ts.�_„ap,�.,,4'a a4�'4 _,!:_s;_,�,I t,�d�t''h>,,i har,�u'�-?,11+4, 171,I�w �_L'�,_, _ ���,N a SMIL o n _' Su �pI /Return Su Fan 31468320 El K Stairwell #1 Pressure Fan 31468319 El Stairwell #2 Pressure Fan 31468318 Elevator Recall 3rd Elevator Lobby 31468270 Elevator Recall Roof Elevator Machine Room 31468312 Advanced Alarm, Inc. 7 02/21/2016 Sound and Visual Testing Generated by: BuildingReports.eom The Sound and Visual Testing .section lists various points throughout your building where audible and visual alarm notification devices were tested. Any bar-coded audible and visual devices will appear in the Inspection and Testing section of this report. Items in this section are grouped by Passed or Failed/Other. Where specific decibel readings were recorded, they will appear under the ambient and alarm columns. The Voice column indicates whether the Sound Test Point passed the Voice Intelligibility requirements. The STI or Sound Transmission Index is shown if recorded. Elevator Speakers 1 st Speakers 2nd Speakers 3rd Speakers 4th Speakers 5th Speakers 6th Speakers 7th Speakers Roof Speakers Stairwell #1 Speakers Stairwell #2 Speakers Advanced Alarm, Inc. L► 0002 0004 13 0006 0008 11 0010 0012 0014 El 0016 13 0018 11 0020 13 0022 Smoke Management Testing Generated by: BuildingReports.com Advanced Alarm, Inc. 9 02/21/2016 Inventory & Warranty Report Generated by: BuildingReports.com The Inventory & Warranty Report lists each of the devices and items that are included in your Inspection Report. A complete inventory count by device type and category is provided. Items installed within the last 90 days, within the last year, and devices installed for two years or more are grouped together for easy reference. �4 1 Smoke Detector Initiating 25.83% 31 Pull Station Initiating 18.33% 22 Phone Jack Control 18.33% 22 Tamper Switch Supervisory 6.67% 8 Waterflow Switch Initiating 7.50% 9 Handset Control 5.00% 6 Duct Detector Initiating 0.83% 1 Fan Start Auxiliary 1.67% 2 Fan Shutdown Auxiliary 0.83% 1 Control Panel Control 0.83% 1 Battery Control 2.50% 3 Phone Station Control 0.83% 1 Communicator Control 0.83% 1 Rall Indicatina 0.83% 1 Bell 1 02/19/2014 Fan Shutdown 1 Supply/Return 02/19/2014 Fan Start 2 02/19/2014 Phone Jack 22 02/19/2014 Tamper Switch 8 02/19/2014 Waterflow Switch 9 02/19/2014 Handset 6 02/19/2014 nS11!enMtK'4!t19N'°NfIJMOV Control Panel 1 IFP-1000 02/19/2014 Duct Detector 1 SD505-DU Photoelectric 02/19/2014 Pull Station 21 SD500 Single Action 02/19/2014 Pull Station 1 SD50OPS 02/19/2014 Smoke Detector 31 SD505 Photoelectric 02/19/2014 Battery Sealed Lead Acid 05/01 /2013 i�' �i �Sn il:xA _i ;u Win,.T._': ,�..riP'E4_A �.-I�LAy��.-r il�.,, -5... ,r�l _.`I,, ,iF+e 1,,-F._�{��.yiN,��.l�{.��-II.Ayra r ii:'� _I'�,4 LI ,��.. .Ik: N{I}r� I Nirr I,y, iF'Ile lvi m ,Ili. -.i �_F .. Ar�ll+ik� I_ ,2_ (N �4 l,h�v_n-,� ':I �_: 1,-hy 1,=�. auiYj�La�C1' h,_r'i S�,_'esrr,lv.,AZQI,Y ar , �M` M r ry if{r,F ,�}�I yili,rllly - ;rd nt. I�-�,NI �n A�,„/�lF�v tll�n �l ,}:I,�r•F' v iY ,(Ilr2iiJ�i' 1 F II,i 4 II' 1.09 ,� Phone Station 1 07/19/2010 Communicator 1 IFP-1000 Digital Communicator 07/19/2010 Advanced Alarm, Inc. 10 02/21/2016 Battery Sealed Lead Acid 06/25/2010 Sealed Lead Acid 04/01 /2008 Advanced Alarm, Inc. 11 02/21/2016 Zone Address Report Generated by: BuildingReports.eom The Zone Address Report lists all of the devices and items that have an individual address, or are grouped together under a common zone. The device type, location, and description are included for your reference. M33:091 Tamper Switch 1 st North Stairwell 31468680 M33:P001 Smoke Detector Roof Elevator Machine Room Photoelectric 31468312 M33:1`002 Smoke Detector Roof Condensor Room Photoelectric 31468316 M33:P003 Smoke Detector Roof Supply Fan Room Photoelectric 31468314 M33TO04 Duct Detector Roof Supply Fan Room Photoelectric 31468315 M33:P007 Pull Station Roof North Stairwell Single Action 31468338 M33:P008 Smoke Detector Roof Boiler Room Photoelectric 31468676 M33:P011 Pull Station 7th South Corridor Single Action 31468048 M33:1`012 Smoke Detector 7th Corridor Photoelectric 31468047 M33:1`014 Smoke Detector 7th Elevator Lobby Photoelectric 31468044 M33TO1 5 Pull Station 7th Elevator Lobby Single Action 31468045 M33TO17 Smoke Detector 7th Corridor Photoelectric 31468043 M33:P018 Smoke Detector 7th Corridor Photoelectric 31468042 M33:P019 Pull Station 7th South Corridor Single Action 31468040 M33:P023 Pull Station 6th South Corridor Single Action 31468233 M33:P024 Smoke Detector 6th Corridor Photoelectric 31468234 M33:Po26 Smoke Detector 6th Elevator Lobby Photoelectric 31468237 M33:P027 Pull Station 6th Elevator Lobby Single Action 31468236 M33:P030 Smoke Detector 6th Corridor Photoelectric 31468238 M33:P031 Smoke Detector 6th Corridor Photoelectric 31468239 M33:P032 Pull Station 6th South Corridor Single Action 31468240 M33-PO36 Pull Station 5th South Corridor Single Action 3146825Q M33:P037 Smoke Detector 5th Corridor Photoelectric 31468249 M33:P039 Smoke Detector 5th Elevator Lobby Photoelectric 31468246 M33:P040 Pull Station 5th Elevator Lobby Single Action 31468247 M33.P043 Smoke Detector 5th Corridor Photoelectric 31468245 M33:P044 Smoke Detector 5th Corridor Photoelectric 31468244 M33:P045 Pull Station 5th South Corridor Single Action 31468243 M33:P049 Pull Station 4th South Corridor Single Action 31468253 M33:P050 Smoke Detector 4th Corridor Photoelectric 31468254 M33:P052 Smoke Detector 4th Elevator Lobby Photoelectric 31468257 M33:P053 Pull Station 4th Elevator Lobby Single Action 31468256 M33:P055 Smoke Detector 4th Corridor Photoelectric 31468258 M33:P056 Smoke Detector 4th Corridor Photoelectric 31468259 M33:1`057 Pull Station 4th South Corridor Single Action 31468260 M33:Po61 Pull Station 3rd North Corridor Single Action 31468274 M33:P062 Smoke Detector 3rd Corridor Photoelectric 31468273 M33:P064 Smoke Detector 3rd Elevator Lobby Photoelectric 31468270 M33:P068 Smoke Detector 2nd Elevator Lobby Photoelectric 31468279 M33:P069 Smoke Detector 3rd Corridor Photoelectric 31468269 M33TO70 Smoke Detector 3rd Corridor Photoelectric 31468264 Advanced Alarm, Inc. 12 02/21/2016 M33:P071 Pull Station 3rd South Corridor Single Action 31468263 M33:P075 Pull Station 2nd North Corridor Single Action 31468277 M33:P076 Smoke Detector 2nd Corridor Photoelectric 31468278 M33:P079 Pull Station 2nd Elevator Lobby 31468281 M33:P079 Pull Station 3rd Elevator Lobby Single Action 31468271 M33:P081 Smoke Detector 2nd Corridor Photoelectric 31468282 M33:P082 Smoke Detector 2nd Corridor Photoelectric 31468283 M33:P083 Pull Station 2nd South Corridor Single Action 31468284 M33:Po85 Pull Station 1 st Elevator Lobby Single Action 31468288 M33:P086 Pull Station 1 st South Lobby Single Action 31468287 M33:P088 Smoke Detector 1 st Elevator Lobby Photoelectric 31468678 M33:P089 Smoke Detector 1 st Fire Alarm Control Room Photoelectric 31468325 M33:Po97 Smoke Detector 1 st Electrical Room Photoelectric 31468677 M33:P098 Pull Station 1 st Fire Alarm Control Room Single Action 31468324 Advanced Alarm, Inc. 13 02/21/2016 Morris, Nadine oC.C. i � :tf- / sa !7 9 From: Sent: To: Subject: Attachments: Good afternoon Dale, Morris, Nadine Tuesday, August 23, 2016 2:08 PM 'Dale Rask' RE: 1201 Dove St 2nd FL 1201 Dove St.pdf I d o l J 0VIE ST. Fi Re AcAf-z�'1 1;2-1 tv -aoi,4 I found the plans from July 2014 for the alarm panel replacement. The Sequence of Operation shows "floor of alarm" as the system response. So I guess we are okay the way the alarm system is currently programmed. The high rise was built in 1977, so floor above and below may not have been a requirement at that time. Thanks for replying to my email and offering to research. Nadine @ NADINE MORRIS Life Safety Specialist (949) 644-3105 nmorris@nbfd.net From: Dale Rask [mailto:drask@trlsystems.com] Sent: Tuesday, August 16, 2016 8:33 AM To: Morris, Nadine Subject: RE: 1201 Dove St 2nd FL Nadine, We can definitely make the change in the software, all also go back and check it against the sequence of operation from when we replaced the head end as well Thanks r*VL.systews When f2 H b11Sry, Comm Dale Rask Project Manager Email: Drask(o)trlsystems.com Direct: 909.456.2600 Mobile: 714.309.6329 From: Morris, Nadine[mailto:NMorris@newportbeachca.gov] Sent: Tuesday, August 16, 2016 7:59 AM To: Dale Rask <drask@trlsystems.com> Subject: 1201 Dove St 2nd FL Good morning Dale, 1 When testing this morning, one of the technicians set off a smoke detector on the first floor. The first floor went into alarm but not the second floor. We set off a smoke detector on the second floor and the floor went into alarm. Don't believe any other floors went into alarm. It's a high rise, shouldn't it be floor of alarm, above, and below? Thanks, Nadine NADINE MORRIS Life Safety Specialist (949) 644-3105 nmorris@nbfd.net • INSPECTION REPORT County of Orange, Health Care Agency, Environmental Health ' 1241 EAST DYER ROAD, SUITE 120 {-` SANTA ANA, CA 92705-5611 (714) 433-6000 • ochealthinfo.com/eh H&S ENERGY LLC #36 2546 E COAST HWY CORONA DEL MAR, CA 92625 Mailing Address: H & S ENERGY LLC 2860 N SANTIAGO BLVD 2ND FLOOR ORANGE, CA 92867 DA5888846 Page 1 of 1 PR0100872 Record ID: FA0068307 Inspection Date: 08/02/2016 Reinspection Date: - - 0 Type of Facility: 7095-UNDERGROUND STORAGE TANK (PR) Service: F04-FOLLOW-UP INSPECTION - OFF -SITE B Carroll HAZARDOUS WASTE SPECIALIST III (714) 559-0106 7:00-8:00 a.m. A UST monitoring system certification, vacuum/pressure, leak detector, and spill bucket report was received by this agency. Testing at this facility was conducted on 7/21/16 and witnessed by this inspector. The following components PASSED testing: Tank Annular Sensors (4) STP Sump Sensors (4) Fill Sump Sensors (4): Alarm only UDCs (4) Vacuum Sensors: Vapor Return, 87 product, 87 W Vent, 87 E Vent, 91 Product, 91 Vent, Diesel Product, Diesel Vent AudibleNisual Overfill Alarm Fail Safe/Sensor Out Spill Buckets Visual Test Line Leak Detectors NOTE: A new UST Permit will be issued once the CERS submittal is updated to reflect the changes to the components of this tank system. l declare that I have examined and received a copy of this inspection report. Print Name and Title Signature Date • INSPECTION REPORT County of Orange, Health Care Agency, Environmental Health 1241 EAST DYER ROAD, SUITE 120 SANTA ANA, CA 92705-5611 (714) 433-6000 • ochealthinfo.corr/eh H&S ENERGY LLC #36 2546 E COAST HWY CORONA DEL MAR, CA 92626 Mailing Address: H & S ENERGY LLC 2860 N SANTIAGO BLVD 2ND FLOOR ORANGE, CA 92867 Record ID: FA0068307 Inspection Date: 07/22/2016 Reinspection Date: DA5879591 Page 1 of 1 PR0100872 Type of Facility: 7095-UNDERGROUND STORAGE TANK (PR) Service: F04-FOLLOW-UP INSPECTION - OFF -SITE B Carroll HAZARDOUS WASTE SPECIALIST III (714)559-0106 7:00-8:00 a.m. ELD test on piping runs test report received. Test report shows PASSING results for piping runs from each of the tanks listed below: -Tank 1 87 - Tank 2 87 - Tank 3 91 - Tank 4 Diesel Piping runs: - Product Primary - Product Secondary - Vent Primary - Vent Secondary - Return Primary - Return Secondary Also included: - Sumps - Poppet - UDCs - Spill Buckets l declare that / have examined and received a copy of this inspection report. Print Name and Title Siqnature Date a INSPECTION REPORT County of Orange, Health Care Agency, Environmental Health 1241 EAST DYER ROAD, SUITE 120 SANTA ANA, CA 92705-5611 (714) 433-6000 ochealthinfo.com/eh H&S ENERGY LLC #36 2546 E COAST HWY CORONA DEL MAR, CA 92625 Mailing Address: H & S ENERGY LLC 2860 N SANTIAGO BLVD 2ND FLOOR ORANGE, CA 92867 Record ID: FA0068307 Inspection Date: 07/21/2016 Reinspection Date: DA5879271 Page 1 of 1 PR0100872 Type of Facility: 7095-UNDERGROUND STORAGE TANK (PR) Service: A01-ROUTINE INSPECTION B Carroll HAZARDOUS WASTE SPECIALIST III (714) 559-0106 7:00-8:00 a.m. An on -site inspection was conducted this date to witness the cold monitoring system certification acting as the final inspection of the recent tank installation (See SR0125407). David Lopez (Clean Air Testing) conducted the monitoring system certification and provided current Veeder-Root and ICC certifications. This facility contains: 4 - USTs (87 west, 87 east, 91, Diesel). Previously single walled tanks. 4 — UDCs Tank annulars, sumps, UDCs, and the vent box sump were observed with wet annual sensors (Sensors = 304s) and the interstitial spaces of the following piping runs were held in vacuum: 87 product, 91 product, 87 manifold, diesel product, 87 west vent, 87 east vent, 91 vent, diesel vent (Sensors = 332-175-001). VR 208 sensors were also observed in the turbine sumps, fill sumps, vent box sump, and UDCs. Fill sump sensors and the vent box sensors do not provide positive shutdown (only alarm), but all other 208 sensors provide positive shutdown of the STPs. LLDs were also observed and tested this date. Sensors were observed positioned so as to initiate alarms at the earliest point possible. Sensors were re -positioned in a true vertical position upon installation after testing. Overfill protection is provided by flapper valves and an audible/visual alarm (set at 90%). Note that one of the probes (87 west) was repaired this date. Overfill alarm to be verified with test report submitted by tester. The following were tested: - Sensors, as indicated above, initiated positive shutdown to the turbines when tested in water - "Fail Safe" and "Sensor Out", shutdown the turbines - ATGs, set at 90%, for an external audible and visual alarm - Spill buckets using a visual hydrostatic test - Leak detectors. Please submit a copy of Monitor Certification to this agency within 30 days. UPDATE THE FACILITY'S CERS SUBMITTAL TO REFLECT THE CHANGES TO THIS UST SYSTEM. / declare that l have examined and received a copy of this inspection report. Print Name and Title Signature Date ip" Ate', fiM «h=� 'w_ ,, ip�,.. � � ^ s ��T`�AF toy �5 y`�s .I• s .rr - _ v - ` - .. � �' v +sue � - •. _ . ...... ..r .-...w-♦....s_ a->_ a........... f- _ 4.s.�f3='^'l: t P— CITY OF NEWPORT BEACH ' \ COMMUNITY DEVELOPMENT DEPARTMENT u r BUILDING DIVISION 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 - 9�/PORN www.newr)ortbeachca.gov 1 (949) 644-3275 CASE NO.: zwl e-- FOR.STAFF USE; ONLY REQUEST FOR MODIFICATION TO PROVISIONS OF TITLE 15 OF THE NEWPORT BEACH MUNICIPAL CODE Plan Check #Q(-r.A .'7 n of Stories (See Reverse for Basis for Approval) (Fee $250) 0 REQUEST FOR ALTERNATE MATERIAL OR METHOD OF CONSTRUCTION (See Reverse for Basis for Approval) (Fee $250) Occupancy Classification Use of Building _ # of Units Project Status Construction Type XT- ❑ REQUEST FOR EXEMPTION FROM DISABLED Verified by No. of Items ACCESS DUE TO PHYSICAL OR LEGAL CONSTRAINT (Fee $6,301) (Ratification by the Board of,Alipeals will be required.) For above requests, complete Sections 1, 2 & 3 Fee due t DISTRIBUTION: ,p' Owner Plan Check Petitioner El inspector [� Fire El Other below by printing in ink or typing. 71 JOB ADDRESS PETITIONER ADDRES re SITE ADDRESS: 12 Land Fall Court Owner Jim Caras Address 12 Land Fall Court Newport Beach, CA Zip 92663 Petitioner Johnoah I` ' r (Petitioner to be i`cct`ore gtri�er� Address 32 Execut`iv k Irvine, CA Zip 9'2'61►4.tf I Daytime Phone (949) 825-5370 Daytime Phone (714) 308-1034 REQUEST: Submit plans if necessary to illustrate request. Additional sheets or data maybe attached. a) Re uest in build a balconythat encroaches be and the maximum projection allowed b the Code See Attachment 'A' r2 b Request to build balcon 6" to adjacent property line ' ' 3 JUSTIFICATION/FINDINGS OF EQUIVALENCY: J CODE SECTIONS: CBC 705.2 / 1406.3 See Attachment 'A' and 'B' Petitioner's Position Architect 06-01-14 (rev.l) Signature CA Professional Lic. # C3 3 09 7 exp . 3 -15 Date 12 - 0 9 -13 FOR STAFF USE ONLY DEPARTMENT ACTION: In accordance with: 0CBC Appendix 104.11 ❑ CBC Appendix 104.10 (Alternate materials & methods) (CBC Modification) ❑ Concurrence from the Fire Marshal is required. ❑ Approved ❑ Disapproved ❑ Written Comments Attached By: Date ❑ Request (DOES) (DOES NOT) lessen any fire protection requirements. ; ❑ Request (DOES) (DOES NOT) lessen the structural integrity The Request is Granted ❑ Denied (See reverse for ❑ Granted (Ratification required) appeal information) Conditions of Approval: i GMFF Signature Position Date J- O o o Print Name APPEAL OF DIVISION ACTION TO THE BUILDING BOARD OF APPEALS (See Reverse) (Signature, statement of owner or applicant, statement of reasons for appeal and filing fees are required.) CASHIER RECEIPT NUMBER: �;'" '�tR ^� Forms\reqmodif 05/23/11 VIEC Ef V,t: OOMMUNlTy DEC 202013 bt�V'tLOPMFNT 001, 'pORT 4-WG� I --r-4 "T Attachment'A' A balcony extension encroaching beyond the maximum projection allowed per Code is being requested. An alternate is requested for the code provision below. The underlined information are items applicable to this Project. CBC Section 705.2 Projections. Cornices, eave overhangs, exterior balconies and similar proiections extending beyond the exterior wall shall conform to the requirements of this section and Section 1406. Exterior egress balconies and exterior exist stairways shall also comply with Sections 1019 and 1026, respectively. Projections shall not extend beyond the distance determined by the following 3 methods, whichever results in the lesser projection: 1. A point 1/3 the distance from exterior face of the wall to the lot line where protected openings or a combination of protected and unprotected openings are required in the exterior wall 2. A point % the distance from the exterior face of the wall to the lot line where all openings in the exterior wall permitted to be unprotected or the building is equipped throughout with an automatic sprinkler system installed under the provisions of Section 705.8.2 3. More than 12 inches into areas where openings are prohibited Project Illustration /Graphic Representation: Type V-B 10'-0" 9'-0" 1'-0" unprotected W wall , Z � J � It (E) "EXTERIOR W04D SIDING a �! ■ i IO I Q FLOOR CBC 705.2, 1/2 ti ie ance from exteixm o a of wall to lot lirw is FIN uired.10'x0.5= I iij a �— FINISH GRADING Clouded: Projection W-17" 5" requiring 'Approval' from the 'Authority w Having Jurisdiction' > Project Evaluation and Justifications: The nature of the code provisions stated on this request is for "Fire Safety". Proper use of material and maintaining code mandated separation is very important and should be followed. However, upon evaluation of this Project, the Architect agrees to submit this request and believes the alternates does not in any way affect public safety and still maintains the spirit and Attachment 'B' A balcony expansion 6" from ADJACENT property line is being requested. An alternate is requested for the code provision below. The underlined information are items applicable to this Project. CBC Section 705.2 Projections. Cornices, eave overhangs, exterior balconies and similar projections extending beyond the exterior wall shall conform to the requirements of this section and Section 1406. Exterior egress balconies and exterior exist stairways shall also comply with Sections 1019 and 1026, respectively. Projections shall not extend any closer to the line used to determine the fire separation distance than shown in table 705.2 Table 705.2 Minimum Distance of Projection Fire Separation Distance Minimum Distance From Line Used to Determine FSD 0 feet to less than 2 feet Projections not permitted 2 feet to less than 5 feet 24 inches 5 feet or greater 40 inches Project Illustration / Graphic Representation: e (N) 26 FRX AND THERMEX-FR A_y FIRE RETARDANT -TREATED MOD F- DECK (]CC ESR 1159) TYP. 4k z' J O O o' O W , W al O (E) RE_TANING 0- WALL W Iz PROPERTY L N e i -10" A -a 19'-8" 6` 22'-0" l _ (N) DECK PLAN Project Evaluation and Justifications: The provision stated above is under section 705 (EXTERIOR WALL) which controls the distance of the projection FROM the EXTERIOR WALL. The 1'-10" and 6" dimension clouded on the Project Illustration above is a distance from the property line to the Balcony. No exterior wall or building face is involved in the dimensions shown. Table 705.2 (Minimum Distance Project) indicates Fire Separation Distance Requirements (FSD), and FSD as defined by Chapter 2 states: "The distance measured from the building face to one of the following....". Based on this evaluation, the Architect feels that this code provision does not apply to the distance of the balcony to the adjacent property line. This however posed a concern to the Jurisdiction's Plan Checker. Considering the vagueness of the provision, an 'Alternate' is hereby requested. Alternates: The same alternates and inspection requirements stated under Attachment'A' shall be applied to the portion of the balcony that is next to the adjacent property lines. purpose of the code provision. Below are Project Specific facts and justifications to support this alternate: 1. The balcony does not project out to an area accessible to public, 2. The area directly below the balcony is an area with no occupancy, 3. The openings facing the property line (lot line) is considered 'unprotected' openings, 4. The property adjacent to the property line (lot line) is an open space dedicated for parks and recreation use. Alternates: In order to be detailed with the approach, the balcony structure is being divided into three (3) assemblies: Floor Assembly, Column and Floor Framing Assembly, and Railing Assembly. An alternate for each assembly is presented below: Floor Assembly: CBC 1406.3 states that "Balconies and similar proiects of combustible construction other that Fire Retardant fire -retardant -treated wood shall be fire resistance rated in accordance with Table 601 for floor construction or shall by Type IV construction in accordance with Section 602.4. The aggregate length shall not exceed 50 percent of the building perimeter on each floor." Table 601 shows type V-B structures shall have'0' fire rating for floor assemblies. However, considering that the Balcony projection distance exceeds what the Code requires, the Architect suggests the use of Fire -Retardant -Treated wood for the Floor. Alternate Material request below: Use FRX and THERMEX-FR FIRE RETARDANT -TREATED WOOD Product (Sawn Lumber) Structural Engineer to calculate based on adjustment factors as stated on ICC ESR 1159 Listed Manufacturers are: o Chemco Inc. o Jasper Wood Products o American Treating Company, LLC Column and Floor Framing Assembly: CBC 1406.3 states that "Balconies and similar proiects of combustible construction other that Fire Retardant fire -retardant -treated wood shall be fire resistance rated in accordance with Table 601 for floor construction or shall be Type IV construction in accordance with Section 602.4. The aggregate length shall not exceed 50 percent of the building perimeter on each floor." Table 602.4 provides the following requirements columns and floor framings. - Columns (CBC 602.4.1) o Shall be sawn or glued laminated timber o Shall not be less than 8" Nominal when supporting floor load o Shall be continuous or superimposed and connected in an approved manner - Floor Framing (CBC 602.4.2) o Shall be sawn or glued laminated timber o Not less than 6" nominal in width o Not less than 10" nominal in depth Considering that a portion of the proposed balcony projection encroaches beyond the limits of the allowable projection, and that a fire -rated assembly causes a deviation to the Home Owner's Association CC Rs, the Architect suggests that all column and floor framing shall comply with the minimum Type IV (HT) Construction Type as stated above. This Type IV construction shall be applied to the column and floor framing for the ENTIRE balcony. Railing Assembly: CBC1406.3 exception 2 states that "Untreated wood is permitted for pickets and rails orsimilar guardrail devices that are limited to 42". The nature of this exception is due to the fact that the railing (not means of egress) is not a major structural element of concern in the event of fire. Though portion of the railing is encroaching beyond the limits of the allowable projection, it is designed to be built over a Type IV (HT) construction. The Architect suggests that the exception stated still applies and that the new railing is not required to be fire -resistive or treated. Inspection Require ents: 1. FRX and Thermex-FR Fire -Retardant chemicals shall be identified by the structural grade mark on an approved agency. In addition, all treated lumber must be stamped with the name of the inspection agency (Fire Tech Services, Inc.). ICC ESR-1159 2. Nominal sizes of timbers shall be installed and inspected to comply with the approved construction documents. LV14/V1./LL l4:'+y.'+v J- / -L �a�WpQR, CITY OF NEWPORT BEACH p e COMMUNITY DEVELOPMENT DEPARTMENT r DUU DING DIVISION c� �r 3300 Newport Boulevard I P.O. Box 1768 1 Newport Beach, CA 92658 crxoa� www.newoortbeachca.clov 1 (949) 644-3275 PAID G-4"7 DEC, ? q CASE NO.: q y CPY OF NPA ' - 011IT� BEEA II -5:5 - - REQUEST FOR MODIFICATION TO PROVISIONS ; FOR STAFF.:;U_S,'IINLY _ OF TITLE 15 OF THE NEWPORT BEACH MUNICIPAL CODE , Plan Check # # of Stories (See Reverse for Basis for Approval) (Fee $250) 0 REQUEST FOR ALTERNATE MATERIAL OR METHOD OF CONSTRUCTION 2c,-'-I0, (See Reverse for Basis for Approval) (FeaI250) Occupancy Classification c Use of Building rm # of Un Project Status _ c Construction Type ❑ REQUEST FOR EXEMPTION FROM DISABLED ACCESS DUE TO PHYSICAL OR LEGAL CONSTRAINT (Fee $6,301) Verified by' I-T, No. of Items I Fee due �( B (Ratification by the Board of Appeals will be required.) Owner /EllPlan Check For above requests, complete Sections 1, 2 & 3PetitionerInspector below by printing In ink or typing. ❑ Flre Other JOB ADDRESS PETI ONER ADDRESS: SITE ADDRESS: 12 Land Fall Court toner Johnoah ' Bok' Yu, RA Owner Jim Caras (Petitioner to be architect orengtheer) Address 3.2 Land Fall Court Newport Beach, CA Zip 92663 Iress32 Executive Park rvine, CA Zip 4 Daytime Phone (949) 825-5370 aytime Phone (714) 308-1034 fn 1 . Cowl 2 REQUEST: Submit plans if necessaryio Illustrate re uest. Additional sheets or data maybe attached. Request in build a balconythat croaches beyond the maximum ro ection allowed by the Code (See Attach ent 'A' 3 JUSTIFICATION/FINDINGS OF EQUIVAL NCY: CODE SECTIONS: CBC 705.2 / 1406.3 See Attachment 'A' Patillon Position Architect Sign re- CA Professional Lic. # C3 3 0 9 7 exp . 3 -15 Date 12 - 0 9 -13 FOR S'TAFF;USE ONLY DEPARTMENT ACTION- In accordance with: AIeee Appendix 104.17 CBC Appendix 104.10 (Alternate materials & methods) (CBC Modification) ❑ Concurrence from t Fire Marshal Is required. ❑ Approved ❑ Disapproved pp [I Written Comments Attached BY: Date ❑ Request (DOES (DOES NOT) lessen any fire protection requirements. 0 Request (DO() (DOES NOT) lessen the structural integrity The Requ t is Granted ❑Denied (See reverse for El (Ratification required) appeal information) Condit fons of Approval: tBUILD 12OFF9314L Si nature 13ZO!j 9 Position Data Print Name APPEAL OF DIVISION ACTION TO THE BUILDING BOARD OF APPEALS (See Reverse) (Signature, statement of owner or applicant, statement of reasons for appeal and tiling fees are required.) CASHIER RECEIPT NUMBER: FbrmsVegmodil 05/23/11 �Sv�D0D�t111�� ,4 , Attachment'A' A balcony extension encroaching beyond the maximum projection allowed per Code is being requested. An alternate is requested for the code provision below. The underlined information are items applicable to this Project. CBC Section 705.2 Projections. Cornices, eave overhands, exterior balconies and similar proiections extending beyond the exterior wall shall conform to the requirements of this section and Section 1406. Exterior egress balconies and exterior exist stairways shall also comply with Sections 1019 and 1026, respectively. Proiections shall not extend beyond the distance determined by the following 3 methods, whichever results in the lesser projection: 1. A point 1/3 the distance from exterior face of the wall to the lot line where protected openings or a combination of protected and unprotected openings are required in the exterior wall 2. A point''/= the distance from the exterior face of the wall to the lot line where all openings in the exterior wall permitted to be unprotected or the building is equipped throughout with an automatic sprinkler system installed under the provisions of Section 705.8.2 3. More than 12 inches into areas where openings are prohibited Project Illustration /Graphic Representation: Existing Type V-B building, unprotected exterior wall FLOOR ar CSC 705.2, 1/2 tl ie stance from exte=ao ce of wall to lot litto is cluired. 10' x 0.5 = 5, [% uiring 'Approval' n the'Authority tinq Jurisdiction' Project Evaluation and Justifications: 10'-0" ■ e ■ (E) EXTERIOR WAD SIDING ■ ■ w V Z .CK .w (0 W if) f io w a or c� I ~ ,c— AN 5H GRADING 5" UJ o The nature of the code provisions stated on this request is for "Fire Safety". Proper use of material and maintaining code mandated separation is very important and should be followed. However, upon evaluation of this Project, the Architect agrees to submit this request and believes the alternates does not in any way affect public safety and still maintains the spirit and a purpose of the code provision. Below are Project Specific facts and justifications to support this alternate: 1. The balcony does not project out to an area accessible to public, 2. The area directly below the balcony is an area with no occupancy, 3. The openings facing the property line (lot line) is considered 'unprotected' openings, 4. The property adjacent to the property line (lot line) is an open space dedicated for parks and recreation use. Alternates: In order to be detailed with the approach, the balcony structure is being divided into three (3) assemblies: Floor Assembly, Column and Floor Framing Assembly, and Railing Assembly. An alternate for each assembly is presented below: Floor Assembly: CBC 1406.3 states that "Balconies and similar projects of combustible construction other that Fire Retardant fire -retardant -treated wood shall be fire resistance rated in accordance with Table 601 for floor construction or shall by Type IV construction in accordance with Section 602.4. The aggregate length shall not exceed 50 percent of the building perimeter on each floor." Table 601 shows type V-B structures shall have '0' fire rating for floor assemblies. However, considering that the Balcony projection distance exceeds what the Code requires, the Architect suggests the use of Fire -Retardant -Treated wood for the Floor. Alternate Material . request below: Use FRX and THERMEX-FR FIRE RETARDANT -TREATED WOOD Product (Sawn Lumber) Structural Engineer to calculate based on adjustment factors as stated on ICC ESR 1159 Listed Manufacturers are: o Chemco Inc. o Jasper Wood Products o American Treating Company, LLC Column and Floor Framing Assembly: CBC 1406.3 states that "Balconies and similar projects of combustible construction other that Fire Retardant fire -retardant -treated wood shall be fire resistance rated in accordance with Table 501 for floor construction or shall be Tvoe IV construction in accordance with Section 602.4. The aggregate length shall not exceed 50 percent of the building perimeter on each floor." Table 602.4 provides the following requirements columns and floor framings. Columns (CBC 602.4.1) o Shall be sawn or glued laminated timber o Shall not be less than 8" Nominal when supporting floor load o Shall be continuous or superimposed and connected in an approved manner Floor Framing (CBC 602.4.2) o Shall be sawn or glued laminated timber o Not less than 6" nominal in width o • Not less than 10" nominal in depth Considering that a portion of the proposed balcony projection encroaches beyond the limits of the allowable projection, and that a fire -rated assembly causes a deviation to the Home Owner's Association CC&Rs, the Architect suggests that all column and floor framing shall comply with the minimum Type IV (HT) Construction Type as stated above. This Type IV construction shall be applied to the column and floor framing for the ENTIRE balcony. Railing Assembly: CBC1406.3 exception 2 states that "Untreated wood is permitted for pickets and rails orsimilar guardrail devices that are limited to 42". The nature of this exception is due to the fact that the railing (not means of egress) is not a major structural element of concern in the event of fire. Though portion of the railing is encroaching beyond the limits of the allowable projection, it is designed to be built over a Type IV (HT) construction. The Architect suggests that the exception stated still applies and that the new railing is not required to be fire -resistive or treated. Inspection Requirements: 1. FRX and Thermex-FR Fire -Retardant chemicals shall be identified by the structural grade mark on an approved agency. In addition, all treated lumber must be stamped with the name of the inspection agency (Fire Tech Services, Inc.). ICC ESR-1159 2. Nominal sizes of timbers shall be installed and inspected to comply with the approved construction documents. 10 gY s Jtiq4 cc v° ow Leo orry of '�� APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644.3106 Fax (949) 644.3120 NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SERVICES DIVISION tests aafnioveu F BY2 DATE: 2 D — lee •• • •• • • Business Name: i5\av4 Nn��l ZJ o s+ c h Applicant Name: Phone: Cgy-t) -7 b n_ `i Address: Email: a, 4t" .�av�� @i51cc.�11�w ! e.t .c o vti Email: - — - Contact Name: Contact Name: Event Name: Fov5 Jk, e. 5 i A-,-- V 5 Event Address: 64o/Jew ova Event Date: 3. _ t Event Time: . ,�, 5 No of Attendees : f C SPECIAL EVENT PERMIT INFORMATION site plan is required for all permits, except candle permits. Fee applies to each individual Permit as marked below) LI Tents and Membrane Structures Size of tent(s) _ In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or — - membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10-} B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. O Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks Wt-iquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles 1 ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. LI Candles & Open Flames in Assembly Areas Quantity of candles - ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) FQ $46.00 - Candles (includes first time and special event) $142.00 -Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 — Inspection during contiguous normal business hours (1 hour minimum): Inspection durin non-conti uous normal business hours, weekend or'holitla 2;hour minimum FIRE ® 04 ONLY .KSpecial Conditions of Permit Apply, **(See Attached) Invoice No: FS5400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution No. 2015.76 on September 22, 2015. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.,VfeSafetyServiceslForms/Application for Temp Pennit- Special Event (09-22.15) Newport Beach Fire Department Fire Prevention Division Special Event Special Requirements Liquid or Gas -fueled Vehicles or Equipment in Assembly Buildings 1. Fuel in the fuel tank shall not exceed one quarter of the tank capacity or 5 gallons, whichever is less. 2. Vehicle shall have gas cap locked and sealed to prevent the escape of vapors. 3. Vehicle battery shall be disconnected. 4. The location of vehicle shall not obstruct or block exit aisle ways or exits. 5. Vehicles shall be inspected and approved by the NBFD before event. Front [hive =>W • Front Entrance Vehicle Entrance/Exit fiR RR � 5tepsrJ7 .�OF BALLROOM 01- � r �i Car PRE -FUNCTION AREA EiCr,#' M Mail Lobby `ICRr3i4 SALON C BALLROOM SALON A SALON 6 SERE A N� SALON D y F 1 Eire Extinguishers j�n_ IQ n-W-A =" fir: e.1, Vi+jirjjn 4G ELINES, GUIDELINE A.08 — Liquid and Gas Fueled Vehicles and Equipment within Assembly Occupancies A.08.1 PURPOSE The purpose of this guideline is to ensure the use of liquid and gas fueled vehicles and equipment in assembly occupancies complies with applicable requirements of the California Fire Code. A.08.2 SCOPE The requirements found in this guideline apply to places of assembly where liquid and gas fueled vehicles and equipment is being used for display. A place of assembly is defined in the California Fire Code as the gathering together of 50 or more persons for such purposes as deliberation, education, instruction, worship, entertainment, amusement, drinking, dining or awaiting transportation. A.08.3 PROCEDURE The California Fire Code states that an operational permit is required to display, operate or demonstrate liquid and gas fueled vehicles and equipment in an assembly occupancy. An application can be obtained from the Life Safety Services Division or downloaded from the City's website at: htto.//Www,city.newport-beach. ca . u s/FM D/Perm its/Perm its/a20Agolitafioh.-pdt Along with the permit application, provide a site plan showing the location of vehicles and/or equipment. Exits and fire protection equipment shall not be blocked. Vehicle batteries shall be disconnected in an approved manner. Fuel in the fuel tank shall not exceed one quarter of the tank capacity or 5 gallons, whichever is less. Fuel system shall be inspected for leaks. The Fuel tank fill openings must be closed and sealed to prevent tampering and the escape of vapors Guideline A.08 - Liquid and Gas Fueled Vehicles and Equipment within Assembly Occupancies Page 1 of 2 LIFE SAFETY SERVICES DIVISION NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SERVICES DIVISION THIS FIRE PERMIT HAS BEEN APPROVED 15 - DUE 03.07.16 BY. ID 5285 DATE: ?' 6 EVENT NUMBER APPLICATION DATE 16053! 02/23/2016 0:00 �" 1 j� APPLICANT NAME PRINTED ANDREW PONDER WILLIAMS 1%e FFd IsS-ws NAME OF THE EVENT EASTER SUNRISE WORSHIP EST DAILY PARTICIPANTS 4 EST DAILY SPECTATORS 396 CHRIST CHURCH BY THE SEA -UNITED SPONSORING ORGANIZATION(S) METHODIST SPONSOR ADDRESS 1400 W. BALBOA BLVD. SPONSOR CITY NEWPORT BEACH SPONSOR ZIP 92661 PERSON IN CHARGE JOY PRICE PERSON IN CHARGE PHONE 949-673-3805 PERSON IN CHARGE FAX PERSON IN CHARGE EMAIL JOY@CHRISTBYTHESEANB.ORG PROFESSIONAL ORGANIZER PROFESSIONAL ORGANIZER ADDRESS PROFESSIONAL ORGANIZER PHONE PROFESSIONAL ORGANIZER FAX PROFESSIONAL ORGANIZER EMAIL RESPONSIBLE PERSON ON SITE ANDREW PONDER WILLIAMS RESPONSIBLE PERSON PAGER PHONE 816-853-6808 14TH STREET BEACH-BALBOA EXACT LOCATION PENINSULA START DATE 3/27/2016 SETUP START DATE 03/27/2016 0:00 SETUP START TIME 01/00/1900 0:00 BREAKDOWN COMPLETION DATE 03/27/2016 0:00 BREAKDOWN COMPLETION TIME 01/00/1900 0:00 TIMES OF EVENT 6:30AM-7:30AM ESTIMATED ATTENDANCE ADMISSION FEE? 0 ADMISSION FEE DESCRIBE PHONE NUMBER FOR PUBLIC EVENT AND INFO 949-673-3805 DESCRIBE PARKING FOR EVENT AND LIST ANY SPECIAL REQUESTS ANY PORTION OF THIS ACTIVITY TO OCCUR ON A CITY STREET, SIDEWALK 0 STREET DESCRIBE IS THIS EVENT OPEN TO THE PUBLIC? 1 CHURCH WORSHIP- CHURCH WORSHIP - OPEN TO PUBLIC DESCRIBE ALL WELCOME! TRAFFIC SAFETY EQUIPMENT? 0 TRAFFIC SAFETY EQUIPMENT DESCRIBE DESCRIBE ENTERTAINMENT ARE ANY ROAD CLOSURES REQUESTED FOR THIS EVENT? ROAD DESCRIBE ..ti.. E, SAE'(TY SFRYICES.° DIVISIQN: "ONLY 0 RSS, ON; INSPECTION REQ'D: NO ❑ PERMIT REQ'D: NO dYES ❑ SPECIAL EVENT CAL: NO LdYES ❑ FIRE CONDITIONS: NO YES ❑ & IS ATTACHED ❑ $142. PER INDIVIDUAL PERMIT LP X __ $ ❑ $46. CANDLES (FLAT FEE) ❑ $159. INSP DURING US. HR (I HR MIN) X __ $ N G NORMAL BUS. HRS (2 HR MIN) X __ $ TOTAL ESTIMATE $ ALCOHOL SERVED? ALCOHOL SOLD? ALCOHOL CONTACT PERSON ALCOHOL PHONE FOOD AT EVENT? FOOD PREPARED AT EVENT? FOOD SOLD? FOOD CONTACT PERSON FOOD PHONE IF FOOD IS TO BE PREPARED, WHERE IS IT BEING PREPARED? DRAWING, RAFFLE, OR CASINO? CASINO? DRAWING CONTACT PERSON DRAWING PHONE SOUND AMPLIFICATION TO BE USED? OUTDOORS? INDOORS? HOURS OF USE AMPLIFIED SOUND CONTACT PERSON ON SITE APMLIFIED SOUND CONTACT PERSON PAGER PHONE DESCRIBE SOUND EQUIPMENT (MAXIMUM DISTANCE AUDIBLE IS 150 FT BY CANOPIES OR TENTS? SIZE (ATTACH PLOT PLAN) DATEINSTALLED DATE REMOVED BY BOOTH, BLEACHERS, STAGES OR STRUCTURES BOOTH DESCRIBE SIGNS OR BANNERS TO BE USED? BANNERS DESCRIBE GENERATORS, LARGE VEHICLES, BOATS, OR OTHER EQUIPMENT? GENERATORS DESCRIBE ANY COMMERCIAL ASPECTS? COMMERCIAL ASPECTS DESCRIBE COMMERCIAL FILMING? OTHER COMMERCIAL ASPECTS? ADDITIONAL INFORMATION PERMIT LEVEL BIKE/FOOT RACE SURF CONTEST 1 0 0 , 1 1 0 6:15AM-7:30PM ANDREW PONDER WILLIAMS 816-853-6808 BASIC SPEAKERS, MICROPHONE s O Permittee: Christ Church by the Sea c/o Judy Deaton 1400 W. Balboa Boulevard Newport Beach, CA 92663 Event Number: 15-060 Level 1/$444-R Title of Event: Easter Sunrise Worship Service Location: 14th Street Beach Date(s): Sunday, April 5, 2015 Times: 6:30am to 7:30am Attendance 400 The above referenced Special Event Permit is authorized at the location(s), date(s) and times indicated ONLY. Approval is contingent on compliance with the following conditions: Event Date Conditions: 1. All vehicles shall be lawfully parked. No fire lane exemption. No meter exemptions. 2. No exclusive use of public parking areas. 3. No vehicles driven onto turf, beach, or oceanfront sidewalk. 4. No exclusive use of street, alleys, beach, or ocean. 5. No activities permitted in any portion of public street, sidewalk or alley. 6. Parking is available on a first come first serve basis only. 7. No posting of promotional signs permitted on any portion of public property, including trees, utility poles, street signs, etc. 8. Permittee shall direct attendees to carpool or shuttle to event to the extent possible. Parking within residential neighborhood shall be kept to a minimum. 9. Activities shall not create a pedestrian or traffic hazard. Prevent crowds from standing in streets and from blocking sidewalks. Activities shall not block the oceanfront sidewalk to bicycles or pedestrians. The oceanfront sidewalk and bike path shall remain completely open at all times. 10. Do not block entrances or exits from any building. Do not block Fire Department access to any fire suppression equipment. 11. Amplified sound (2 microphones only) shall not begin before 6:30am and shall cease by 7:30 am or at the order of the Police/Code Enforcement/Park Patrol and shall not be loud and unreasonable (MC 10.28.010). Face speakers away from residential areas and towards ocean. No amplified music permitted. 12. Do not exceed maximum occupancy load of any room or building. 13. Obey all City, County and State regulations. Comply with the lawful orders of Police and Fire personnel, or other government officials. 14. Any sound amplification or noise associated with this special event activity is controlled by Newport Beach Municipal Code Sections 10.26, 10.28, and 10.32. You should be aware if complaints are received relative to any noise generation you may be told to either lower or to eliminate any noise -associated with your activity by the Police Department, Code Enforcement or Park Patrol Officer. Permittee: Christ Church by the Sea c/o Judy Deaton 1400 W. Balboa Boulevard Newport Beach, CA 92663 Event Number: 15-060 Level 1-$444/Res. 15. Any waste that enters or may enter the storm drain system (street and gutter) is strictly controlled by Newport Beach Municipal Code Section 14.36. This section prohibits the discharge of any pollutant into these areas. Therefore, you should make any arrangements that may be necessary to remove or to eliminate any potential pollutants from entering the storm drain system. 16. Be advised there are No Lifeguards on duty until 7:00am. 17. All food service to comply with Orange County Health Department requirements. For more information, contact the Orange County Health Department at (714) 433-6170. 18. No alcohol applied for or permitted. 19. Clean-up is the responsibility of the Permittee. 20. On site contact during event is Rev. Melissa Ruster at 714-856-6817. 21. Permittee shall provide $1,000,000 general liability insurance naming the City of Newport Beach as additionally insured and provide a written endorsement of said coverage before the event date. 22. Provide a copy of this permit upon request of a public official. 23. Notify residents in writing that are in close proximity of the event. Include the event dates, times, a contact person and phone number, and indicate that there will be amplified sound used. This permit shall be present at the event and made available at the request of the Police or other city officials. Failure to comply with the requirements of this permit, or violations of law, will result in the cancellation of this permit, and/or denial of future permits. Issuance of this permit does not authorize any activity in violation of any law, nor does it represent an endorsement of the activity or persons responsible for the event. I have read and understand the conditions of this permit and agree to comply with them. Please initial, date, and fax to (949) 644-3155. Initials: Date: Approved by: Matt Dingwall Recreation Supervisor Date Page 2 of 2 APPLICATION FOR TE MPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA SM (940 644-3106Fax (949) 644-312D NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SERVICES DIVISION • si b +r Department DA . *5 -= 2- Z t tv 7Busin!esName: Signature Party Rentals Applicant Name: one: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: Event Name: Bungalow Dinner - Pelican Hill R# 61803 Event Address: Pelican Hill Lower Bungalow Lawn, S Pelican Hill Rd, Newport Coast 92657 Event Date: 3/29/2016 Event Time: 6pm 11b of Attendees : 80 SPECIAL EVENT PERIVIT INFORNATION (A siteplanis required forallpendts, except candle pernits. Fee applies to each individual Peinitas rmtkedbefoW 0 Tents and Nbmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. © Liquefied Petroleum Gas (LP -gas) Size of tanks) 5 gal Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specifySPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY Special C onditions ofP emifiA pply, **(S ee A Mrhed) Invoice No: FS540D Customer No: Rates changed per neWMasterF ee 5 chedule adopted Dy R esolutlon N a zu1 5-ib on 3 eplOnXierz c, Zvi b. Note: Effective Fire Pbanits are not transferable. ifbusiness sold, orifquantities orprocesses change, a newPermitis required. F: t iMatW ervicesif orms/A pplication forTenp Pemit- S pedaif vw t(09-22.15) 4taSr�erf ua�-damriolwlaeuvrra«0,ilil f.Aifi sTA3 City of Newport Beach Fire Department Special Event Permit Conditions Event: 3/29/2016 @ 6:OOpm Resort at Pelican Hill 22701 Pelican Hill Road South Lower Bungalow Lawn- LPG Fire Pit 80 Guests Propane Fire Pit: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Heating equipment shall not be located within 10 feet of building exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Pp4r COMMUNITY DEVELOPMENT DEPARTMENT z BUILDING DIVISION -LIFE SAFETY SERVICES 3 z 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 c ` s www.newportbeachca.00v 1(949) 644-3200 qC/ FO RN DUE: 3-14-16 ID 5289 EVENT NUMBER 16055 APPLICATION DATE 02/13/2016 0:00 APPLICANT NAME PRINTED ARTHUR JEPPE NAME OF THE EVENT EST DAILY PARTICIPANTS EST DAILY SPECTATORS SPONSORING ORGANIZATION(S) SPONSOR ADDRESS SPONSOR CITY SPONSOR ZIP PERSON IN CHARGE PERSON IN CHARGE PHONE PERSON IN CHARGE FAX PERSON IN CHARGE EMAIL PROFESSIONAL ORGANIZER PROFESSIONAL ORGANIZER ADDRESS PROFESSIONAL ORGANIZER PHONE PROFESSIONAL ORGANIZER FAX PROFESSIONAL ORGANIZER EMAIL RESPONSIBLE PERSON ON SITE RESPONSIBLE PERSON PAGER PHONE (EXACT LOCATION !START DATE SETUP START DATE SETUP START TIME BREAKDOWN COMPLETION DATE BREAKDOWN COMPLETION TIME TIMES OF EVENT ESTIMATED ATTENDANCE ADMISSION FEE? ADMISSION FEE DESCRIBE PHONE NUMBER FOR PUBLIC EVENT AND INFO DESCRIBE PARKING FOR EVENT AND LIST ANY SPECIAL REQUESTS ANY PORTION OF THIS ACTIVITY TO OCCUR ON A CITY STREET, SIDEWALK STREET DESCRIBE IS THIS EVENT OPEN TO THE PUBLIC? OPEN TO PUBLIC DESCRIBE COMMUNITY DEVELOPMENT EPARTMENT LIFE SAFETY SER ES T IRE PER S B APPROVED BY: _ DATE: ST. JAMES THE GREAT CHURCH SERVICE 15 125 SAVE ST. JAMES THE GREAT ASSOC. 108 VIA KORAN NEWPORT BEACH 92663 ARTHURJEPPE 949-922-1714 AJEPPE@ROADRUNNER.COM ARTHUR JEPPE 949-922-1714 VIA LIDO & 32ND STREET_, NEWPORT (BEACH 3/27/2016 03/27/2016 0:00 01 /00/1900 0:00 03/27/2016 0:00 01 /00/1900 0:00 8:30PM-12:OOPM N PARKING IS AVAILABLE IN CHURCH PARKING LOT, ADJACENT TO PARK. 1 A CHURCH SERVICE LIFE SAFETY SERVICES ONLY - TO` RSS INSPECTION REQ'D: NOX YES ❑ PERMIT REQ'D: NO YES ❑ SPECIAL EVENT CAL: NO YES ❑ FIRE CONDITIONS: NO;CYES ❑ & IS ATTACHED ❑ $142. PER INDIVIDUAL PERMIT (LPG/TENT) X __ $ ❑ $46. CANDLES (FLAT FEE) ❑ $159. INSP DURING NORMAL BUS. HR (I HR MIN) X __ $ NOT DURING NORMAL BUS. HRS (2 HR MIN) X __ $ TOTAL ESTIMATE $ TRAFFIC SAFETY EQUIPMENT? 0 TRAFFIC SAFETY EQUIPMENT DESCRIBE DESCRIBE ENTERTAINMENT ARE ANY ROAD CLOSURES REQUESTED FOR THIS EVENT? 0 ROAD DESCRIBE ALCOHOL SERVED? 0 ALCOHOL SOLD? 0 ALCOHOL CONTACT PERSON ALCOHOL PHONE FOOD AT EVENT? 0 FOOD PREPARED AT EVENT? 0 FOOD SOLD? 0 FOOD CONTACT PERSON FOOD PHONE IF FOOD IS TO BE PREPARED, WHERE IS IT BEING PREPARED? DRAWING, RAFFLE, OR CASINO? 0 CASINO? 0 DRAWING CONTACT PERSON DRAWING PHONE SOUND AMPLIFICATION TO BE USED? 1 OUTDOORS? 1 INDOORS? 0 HOURS OF USE 8:30AM-12:OOPM AMPLIFIED SOUND CONTACT PERSON ON SITE ARTHUR JEPPE APMLIFIED SOUND CONTACT PERSON PAGER PHONE 949-922-1714 DESCRIBE SOUND EQUIPMENT (MAXIMUM DISTANCE AUDIBLE IS 150 FT BY ORGAN CANOPIES OR TENTS? 0 SIZE (ATTACH PLOT PLAN) DATEINSTALLED DATE REMOVED BY BOOTH, BLEACHERS, STAGES OR STRUCTURES 0 BOOTH DESCRIBE SIGNS OR BANNERS TO BE USED? 0 BANNERS DESCRIBE GENERATORS, LARGE VEHICLES, BOATS, OR OTHER EQUIPMENT? 0 GENERATORS DESCRIBE ANY COMMERCIAL ASPECTS? 0 COMMERCIAL ASPECTS DESCRIBE COMMERCIAL FILMING? 0 OTHER COMMERCIAL ASPECTS? ADDITIONAL INFORMATION PERMIT LEVEL BIKE/FOOT RACE SURF CONTEST APPLICATION FOR TEMPORARY PERMIT TO OPERATE Permit valid once stampe�f FIRE DEPARTMENT signed br Fire aep10 e Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 Q� (949) 644-3106 Fax (949) 644-3120 !Business Name: 717 Name:Jennifer Brgw att lace ne: 306 34th Street, AptQ, Emall: ny.noel @yahoo.com Contact Name: ame: Jennifer Brown/Matt wallace Event Name: Wallace/Brown Wedding Event Address:1600 W. Balboa Blvd Event Date: 5/14/2016 Event Time: 4:30 No of Attendees :100 SPECIAL•. • candle .below) (A site plan is required for all permits, except ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: •► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► `No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. 50 votives, 7 lanterrl�tt-CO„�dtt'. 0 Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ® $46.00 - Candles (includes first time and special event) ❑ $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Inso,ectioa durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION ONLY ❑ Special Conditions of Permit Apply, **(See Attached) _ Invoice No: FS5400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-16 on September 22, 2015. (Vote: Effective Fire Permits are not transferable. If business sold, or if quanfifies or processes change, anew Permit is required JENNIFER BROWN & MATT WALLACE — EVENT DATE 5/14/16 Special Conditions: ALL WICKS MUST BE CUT LOW WATER LEVEL 3" FROM TOP OF ALL VASES/CONTAINERS Ad90 0 G�EQP G�cJ,O �e40 �S J %4i:ss fVk- , ALL VASES/CONTAINERS MUST BE SECURED ON FLAT SURFACES W/ DOUBLE-SOffTAPE OR GLUE CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT LIFE S AFETY SERVICES 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 1 FAX (949) 644-3250 PAYMENT RECEIPT Payor Name: Date: Temporary Candle Permit Fee: Payment Method: Account: Received By: CDD\Shared\LI FESA FETYS E RV ICES\F 0 R MS "t'� W-Al (act , Du•t� • t ts, 6'f-t�+- Q" 01040402-521210 [2330-50541 APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644.3106 Fax (949) 644.3120 NEWP0areA0"FWo pt Business Name: f♦ U 1 cant Name: Phone: q (� 7 Address: Email: YY Email: Contact Name: ��r�155 Contact Name: Event Name: Event Address: Veit j �276 t s. Event Date: Event Time: No of Attendees SPECIAL EVENT PERMIT •• • (A site plan is required for all permits, except candle permits. Fee applies marked below) ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. Candles & Open Flames in Assembly Areas Quantity of candles 120 ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. SPECIAL EVENT FEES $46.00 - Candles (includes first time and special event) ❑ $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 1 ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection during non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION ONLY Special Conditions of Permit Apply, **(See Attached) / C,e-4 41 Invoice No: FS5 00 Customer No: New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.•ILifeSafetyServicesIFonns/Application for Temp Permit - Special Event (04.03.14) IW:rMAqM IFRM MAnG TSOIRIS14 83OWMe YTBW-1 31ti CWWIqA6WU WUtTWJM4)M " ........... ........... ........... Au --------- -- MAI 77, ALL WICKS MUST BE CUT LOW ............................. ...... ............ t ..... WATER LEVEL 3" FROM TOP OF ALL VASESICONTAINERS ALL VASES/CONTAINERS. MUST'BE* SECURED ON -LAT SURFACE WITH DOUBLE BACK TAPE OR GLUE v CITY OF NEWPORT BEACH 100 CIVIG•CENTER DRIVE NEWPORT BEACH, CA 92660-3267 (949) 644-3141 Page 1 Receipt Number: - 0 2 0 0 017 0 5 5 9 Received By: DALIA Payor: INVITING OCCASION Today's Date: 0 3 / 10 / 16 Register Date: 0 3 / 10 / 16 Time: 13 : 4 2 23305054 FIRE PERMIT INSPE TN FEES $46.00 TOTAL DUE: $46.00 CHECK $46.00 REF NUM: 1974 TENDERED CHANGE $46.00 $.00 COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-32001 FAX (949 644-3250 COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES THIS ApFIRE PERMIT HAS BEEN APPROVED BY: liArA cl�=4 DATE: pV - U ' Application for TEMPORARY PERMIT TO OPERATE CANDLES & OPEN FLAMES IN ASSEMBLY AREAS yes y •' y • y' y •� y • • Business Name: t l' ks r Applicant Name: Address: 13M VGt Address: Contact Name: M i G had Lt vi Cm hcy- Email: Email: hUC Y SG lYl✓��li y)'1 Contact Phone: Contact Phone: ffi g �� _ 1 --1 4 Event Name: 'I a3 i A. d6h Event Address: Pei , c cm WPl V- 2 2 o 1 NJ �d . Nwao& 8 e-e C k Evea 01 Event Time: No. of Attendees: y PERMIT INFORMATION SPECIAL !'� Q ❑ Candles &Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame eight and ensure approved conditions are followed. SPECIAL ❑ $46.00 - Candles (includes first time and special event) c ADMINISTRATION ONLY ❑ Special Conditions of Permit Apply, **(See conditions below and attached photograph) Revenue Account. 01040402-521210 [2330-5054] Until 6/30/2016 Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 2Z, 2015. Note: Effective Temporary Permits to Operate Candles and Open Flames in Assembly Areas are not transferable. If business is sold, or if quantities or processes change, a new permit is required. Special Conditions: ** All wicks must be cut low. Wafter level 3 inches from top of all vase / containers All vases / containers must be secured on flat surfaces with double back tape or glue F.1 CDDISharecRLIFESAFETYSERVICESIFormst4p, 77. ALL WICKS MUST BE CUT LOW ....................... I .... ...... 1k—.4 ..... 1..4.....a........... WATER LEVEL 3" FROM TOP OF ALL VASESICONTAINERS ..................................... I .... I ..................... ... .......... ALL VASES/CONTAINERS MUST'SE SECURED ON FLAT SURFACE WITH DOUBLE BACK TAPE OR GLUE Received By: CARAENG Today's Date: 0 6 / 2 0 / 16 CITY OF NEWPORT BEACH 100 CIVIC CENTER DRIVE NEWPORT BEACH, CA 92660-3267 (949)644-3141 Page 1 Receipt Number: 05000006197 Payor: MARKS GARDEN Register Date: 0 6/ 2 0/ 16 Time: 0 9: 5 9 23305054 FIRE PERMIT INSPE TN FEES TASIA WEDDING -CANDL PER $46.001 TOTAL DUE: $46.001 CHECK $46.00 REF NUM: 055660 TENDERED CHANGE $46.00 $.00 -F. • .,. . jc Pp,T dac C! fioR�`V' COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.aov 1 (949) 644-32001 FAX (949 644-3250 COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES THIS CFI JE PE ITS If S BEEN APPROVED DATE: Application for TEMPORARY PERMIT TO OPERAT CANDLES & OPEN FLAMES IN ASSEMBLY E . • . - • Business Name: Applicant Name: e l�e J Address: Address: . �U �.0 Contact Name: Email v� �U �' V, tk- �� C Email: Contact Phone: Contact Phone: Event Name: Clt CA_ Facility Name: e,tl C d ,.- Room Name / No.: tr t a ►�z CX) Street No.: I Street Name: Suffix (st., Ave., Dr., etc.): Direction. (N,w,s,E): Event Date: CQ Event Time: 61FA k -- ) O P Art No. of Attendees: 50-0 SPECIAL EVENT PERMIT INFORMATION O I a vc)�j vleS Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure apr oved cditions are followed. SPECIAL EVENT FEES $46.00 - Candles (includes first time and special event) BUILDING ADMINISTRATION ONLY Special Conditions of Permit Apply, **(See conditions below and attached photograph) Revenue Account (D'' Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Temporary Permits to Operate Candles and Open Flames in Assembly Areas are not transferable. If business is sold, or if quantities or processes change, a new permit is required. Special Conditions: ** All wicks must be cut low. Water level 3 inches from top of all vase / containers All vases / containers must be secured on flat surfaces with double back tape or glue F:I CDDI SharedlLIFESAFETYSERVICESIFormst4pplication for Temp Permit Candles (08.16.2016) r to tla 3 116(aw- W ` � ALL WICKS MUST RE CUT LOW , ALL CONTAINERS MUST RE SECURED ON FLIRT SURFACE WIT" DOUBLE -SIDED T /LIE OR MUSEUM WAX�►�t' N�SAF� SER�G� N��OVkAAPPROVAL t i �5 a r`F r.�,2• �. „ , , PagT m COMMUNITY DEVELOPMENT DEPARTMENT t LIFE SAFETY SERVICES U Z 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 �"c www.newoortbeachca.aov 1 (949) 644-3200 1 FAX (949) 644-3250 C4I! FO ft COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES THIS FIRE PERMIT HAS BEEN APPROVED BY: M 0yzYLtS DATE: —1 --1 a 1 (O Application for TEMPORARY PERMIT TO OPERATE 7Businesse: 24 Carrots Catering & Events Applicant Name: 717-1545 Address: Email: elise@24carrots.com Email: Contact Name: Elise Luna Contact Name: ' + Event Name: William Lyon Homes Company Barbecue Event Address:4695 MacArthur Court, Newport Beach, CA 92660 Event Date: 7/15/16 Event Time:12:00 p.m.-1:00 p.m. No. of Attendees : 60 SPECIAL•' • (A site plan is required for all permits. Fee applies to each individual Permit as marked below) Tents and Membrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. OLiquefied Petroleum Gas (LP -gas) Size of tank(s) 20 Ib Quantity of tanks 1 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑Other (specify) SPECIAL EVENT FEES f7 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑$159.00 - Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or holiday, (2 hour minimum) ADMINISTRATIONBUILDING j(Special Conditions of Permit Apply, **(See Attached) .54) DQJ —1 Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Fire Permits are not_tr-ansferahl business sold, or if quantities or processes change, a new Permit is required. F:1 CDDISharecRLIFESAFETYSERVICESIFormst4 pplication for Temp Permit (05.24.2016) 1. F I CITY OF NEWPORT BEACH FIRE DEPARTMENT Special Event Propane Cooking Conditions Event: July 15, 2016 12:00 PM — 1:00 PM William Lyon Homes Company BBQ 4695 MacArthur Court, Newport Beach 60 Guests • Visible and mounted fire extinguisher, tagged and serviced within one year, shall be provided at the cooking location. • No Smoking sign provided at propane area. • Cooking equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured to prevent tipping. • Cooking area shall be cordoned off to keep the public away from cooking equipment (i.e. lattice, tables). • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. Exhibit A MACARTHUR COURT �- JOHN WAYNE AIRPORT 0. . L 3 - 0 J PARKING BBQ Location - Approved .:TRUCTURE by Irvine Co..YY :Q 4675 2iA, 0 Q' � w? -i' SFr` _.°�....,.,,,�_. •^"'''�' �.�'-•�'� �� = ' . a "•^4`^c »wy`4 �ARTyUR B< - l _ f ' - i 1 •l "i ', ��� .,,¢. ,p"'>"4"��}J¢i' F'"jj _ sxxasx �4x� �p E" � �,.-,^"- �1[ aE Ais et - S p}H ST. Z xrnrr, ,`-',".,✓"Y - jg_ & aAK�LUF}, „• 905 q /, MICHELSON DR. 0• MACARTHUR� k ---COURT CAA,PUS OR. 8 RRCHHH STT.. - - ,MAP NOTTO SCALE IRVINE COMPANY OFFICE I PROPERTIES Conference Center Cafe/ Dry Cleaner Fitness Center Courtyard Coffee Shop IRVINECOMPANY0FFICE.COM FOR LEASING INFORMATION, CALL 949.720.2550 111 INNOVATION, IRVINE, CA 92617 Auto Detailing Sundries AM Bank Customer Resource Center ©2012 THE IRVINE COMPANY LLC I LIC. 01521891 r-1 Morris, Nadine From: Elise Luna <Elise@24carrots.com> Sent: Tuesday, July 12, 2016 4:56 PM To: Morris, Nadine; Hannah Penprase Subject: RE: Fire Permit Application - 7.15.16 Thank you, Nadine! We will ensure that all conditions are met. I will be the on -site contact and will look forward to meeting the inspector at 11:00 a.m. Friday morning. Please mail the invoice to the following billing address: 24 carrots Catering & Events Attn: Elise Luna 17851 Sky Park Circle, Suite F Irvine, CA 92614 We greatly appreciate your help on such short notice! Please let me know if you need any additional information from US. Best Regards, Elise Luna i w a Director of Sales` OFFICE 800.717.1545 MOBILE 949.748.9386 FAX 949.748.7886 )II'AI lTi.it . 17851 Sky Park Circle, Suite F, Irvine, CA 92614 From: Morris, Nadine[mailto:NMorris@newportbeachca.gov] Sent: Tuesday, July 12, 2016 2:37 PM To: Hannah Penprase <Hannah@24carrots.com> Cc: Elise Luna <Elise@24carrots.com> Subject: RE: Fire Permit Application - 7.15.16 Good afternoon Hannah, Attached is the approved permit. Please review the conditions and provide to the responsible party for setup. An invoice will be processed and mailed after the event. If 24 Carrots Catering is to be invoiced, please provide a mailing address. Also, please advise when the cooking location setup will be complete and an inspector will swing by. Thank you and feel free to contact me with any questions. Nadine NADINE MORRIS I Life Safety Specialist Newport Beach Fire Department 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3105 1 (949) 723-3505 FAX I nmorris@nbfd.net 410 v' Safety, Service, Professionalism From: Hannah Penprase [mailto: Hanna h0)24carrots.com] Sent: Monday, July 11, 2016 5:41 PM To: Morris, Nadine Cc: Elise Luna Subject: Fire Permit Application - 7.15.16 Hello Nadine, I hope this email finds you doing well! We are doing an event this upcoming Friday, 7/15 for William Lyon Homes at their offices in Irvine at 4695 MacArthur Blvd. The event is a company BBQ being held in the downstairs courtyard of the building, and the Irvine Company let us know that we will need to receive a fire permit for use of our propane BBQ. Please see the completed application attached, along with a diagram of the space. Please let us know if there are any questions or clarifications, and if you need any additional information from us. Please also let me know how you would prefer us to handle the permit application fee in order to move forward, and if any inspection will be required of the space. We look forward to hearing back from you soon! Have a wonderful evening! Best, Hannah Penprase WHY � a Ih Ti I Event Producer lea OFFICE 800.717.1545 MOBILE 949.838.5460 FAX 949.748.7886 17851 Sky Park Circle, Suite F, Irvine, CA 92614 11TEi1'eix?chxre" 1 --- 4 - -- - - - COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES 100 Civic Center Drivel P.O. Box 1768 I Newport Beach, CA 92658-8915 www.newoortbeachca.00v 1(949) 644.32001 FAX (949) 644-3250 COMMUNITY DEVELOPM NT DEPARTMENT u E SAFETY ERVICES TH P IT N BEEN APPROVED DATE: Application for TEMPORARY PERMIT TO OPERATE Business Name: err p� Applicant Name: Phone: 1'_ S 00 — t — Address: m1 Email: �� n 24��t r YU S. Com Email:�/ 91� Contact Name: t f w n Contact Name: • ' Event Name: S 1 l i LAdino Event Address: Q -�Y . dy. NRC Event Date: 0[ Event Time: 4 YY1 No. of Attendees: l 2Q SPECIAL EVENT PERMIT INFORMATION individual(A site plan is required for all permits. Fee applies to each marked below) ] Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Wags ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. Liquefied Petroleum Gas (LP -gas) Size of tank(s) 5 Q-A )l Oyl_. Quantity of tanks Site plan required showing location of cooking or healing equipment and situ ures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks (]Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑Other (specify) SPECIAL EVENT FEES 142.00 - Per individual Permit as marked above, (inspection fee included if during weekday normal business hours). $159.00 - Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or holiday, (2 hour minimum) BUILDINGADMINISTRATION ONLY XSpecial Conditions of Permit Apply, "(See Attached) -.C-Zh(4,00 Rates changed per new Master fee Schedule adopted by Resolution No. 2015-76 on September 22, 2075. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.1 CDDishared fFESAFEITSERVICESIFoTV emp Pwi* (0524.2016) City of Newport Beach Fire Department Special Event Permit Conditions Event: 9-24-16 at 4pm- 10pm Newport Beach Civic Center- Lawn 100 Civic Center Drive 120 Guests LPG COOKING: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • No cooking in tents or canopies • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. • Cooking area shall be cordoned off to keep general public away from cooking equipment If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. =3 0 ti o Grass Lawn Sample Seating:120 guests 0 0 0 0 Guest Dining 8- W x 40" tables Color Ivory 1- Half 60" Brooklyn Nude 7-60"rounds Color Ivory 0120 Urban Metal Buffet Bar (2) a, tables (214' Provence Bars Color Pewter 12) 6'tables Color Pewter rw r •w +r wCIO rw+wr allll�iwr • ♦ * ♦• s�16 Oro ♦• r�r r • r♦ • • rr Dance Area ' 6 w • w .0 Q + 6) T'Sle Cake Table Kitchen for scullery & hors d'oeuvres service 2- table top ovens (electric) String Lighting Lounge Furnbure tworttable Layout TBD on Lawn 1.6'table Color Pewter Gl 3.30' R. Cocktall Tables e O 2. 3W R. Seated Tables (5 Guests) CY3�L7 Color Peach O 0 O Client Provided Ph to Board Guestbook Table 1- 3W flound Color Pewter Ceremony - Lower lawn 3- sections of 40 chairs each 5 rows of 10 seats per row 120 chairs totaljP o�' Parking Lot Parking Parking Spots Spots Parking Spots Ou Parking Clv Spots Parking Structure 2- 20' x 10' canopies w/ lattice panels 6- 6' x 30" tables 2-convection ovens Astroturf 200 sf COMMUNITY DEVELOPMENT DEPARTMENT t po,Rr LIFE SAFETY ERVICES ( COMMUNITY DEVELOPMENT DEPARTMENT THI tR ITN BEEN APPROVED LIFE SAFE iY SETBVICES t oo Civic Center Drive I P.O. Box 1768 I Newport Beach, -3250 $ 8g15 BY: wwwr.newportbeachca.aov 1 (949) 644-3200 I FAX () �'qLl Fp A��T Application for TEMPORARY PERMIT TO OPERATE Business Name: ' Applicant Name: Phone: � / L/-;� 73r � � s a' Address: / Email: Email: S4,�v�- � ,,y Contact Name: Contact Name: ��,.,.•� L GI Event Name: 14rre- Event Address: C%3 _.���' ,� Event Date: �� -%� Event Time: 1'� No. of Attendees : LSize of tentsents and Membrane Structures ) In excess of 400 sq ft with sides of r 000Wails ►without Location of Site x'stsplan n required lude et incluetc.jlt► Location ofe following: FiregExtinguishe9s (minimum 2-A:10r membrane structure ► Numbccupant load for even with current service tag ► e son forkeventsgns lo. Diagram with tables and or chairs. chairs n Use or including square feet perrpe sonforvents without ttaab es a d chairs event. Use 15 square feet perp An approved occupant load will be listed as a requirement of permit when issued. Size of tanks Quantity of tanks ❑Liquefied Petroleum Gas (LP -gas} ( ) ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks []Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. []Other (specify} ;K$142.00 - Per individual Permit as marked above, (inspection fee included if during weekday normal business hours). Z$159.00 - Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or holiday, (2 hour minimum) fX Special Conditions of Permit Apply, **(See Attached) t 1 lC s Rates changed per new Master Fee Schedule adopted by Resolution No. 201546 on September 22; 2015. Note: Effective Fire Permits are not transferable. If business sold, or it quantities or processes change, a new Permit is required. F.1 CDD1ShoredU. FESAFE7YSERVIcEsiFormsiApplication for Temp'Perridt-(05,24.2016) City of Newport Beach Fire Department Special Event Permit Conditions Event: August 6, 2016 Care Credit BBQ Newport Dunes 1131 Back Bay Drive 250 Guests TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • The width of aisles in occupancies without fixed seats shall be provided as follows: ■ The minimum clear aisle width shall be 36 inches where seats, tables, counters, furnishings, displays, and similar fixtures or equipment are placed on one side of the aisle only. • The minimum clear aisle width shall be 44 inches when such fixtures or equipment are placed on both sides of the aisle. LIQUID PROPANE GAS (LPG): • If Liquid Gas Propane (LPG) is used for heating or cooking a Fire Department LPG permit shall be required. • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time GENERAL INOFRMAION: • Do not exceed Maximum Occupancy in the Building or structure. • Do not obstruct exits out of the building or structure. • Do not obstruct Fire Department access. • If solid fuel (wood logs, wood chunks and/ or pellets) is being used for cooking. You shall place the hot coals or embers in a metal can with a closing lid or cool the embers before placing in rubbish can. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. c N p `: t+i� oYl w Fs W--- jj e Project.CARECREDIT SJ W R2t28AM File: Project contains unsave s � "^ 0 � 0 5M 7 CARE CREDIT EMPLOYEE' BBQ —dtl AAIA APEX TENT & PARTY Date: Project: Owner: Designer: ii 1131 13ack Bay Dr - Goo X , v 178z,Dmv A fenue,Tusk k j ,M ,asp $g06 frp}}}.pldl _Sp1ES�1' �i 18 9ooglecoM,a,r,.•�...'ti: K4:r: . a/>a.,aAca., rt• •'.. ::J,rt,cy,r..3?lrtt ',• f,:7, t-.!1��1f,'a dTF",'0+fte 're,:Ii,•<.{: r,!;.,>�n}'tti ...;'rt�'�„•. :qw ,F*�ttr., , Ik eaay N9 MSN.com bypell y* Neat !_-- Suggested Sites { Web Slice Gallery cerhucate of REGISTERED AZTEC TENTS Date treated or APPLICATION 2666 COLUMBIA ST manufactured CONCERN NO. TORRANCE, CA 90503 (800)228-3687 CALCOMB F-419.01 This is to certify that the materials described below hereof have beers flame resat daritRated (orare inherentfynonfiamirlabI4 FOR " - I, Apex Tent & Party 2152 Alton Parkway Suite H Irvine, CA 92606 Cert9l"Cation is hereby made that. (check "a" or "V9 F] (a) The articles described below this certificate have bWith (seen treated a flame retardant chemical approved and registered by the State Fire Marshal and that the applicationot said chemical was done in confor- mance with the iaws of the State of California and the Rules and Regulations of the State Fire Marshal. Nameof chemical used ............................................ Chem. Reg. No......................... Meathodof application ...................................... _ ........................................ . ........ (b) The articles described below hereof are made from a flame -resistant fabric or material registered and approved be the State Fire Marshal for such use; Fabric has been tested and passes NFPA 701 -PM04. —I rade name of flame -resistant fabric or material used. Reg. No, ...... The Flame Retardant Process Used ------- Be Removed by Washing (wffl at will not) David Bradley Chuck Miller - President NaM of APP4=t.' a^ Production TWe s �G SEW PQRr o e COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES U ' Z 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 ? www.newportbeachca.aov 1 (949) 644-32001 FAX (949) 644-3250 c'g41FOP.k " COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES THI RMIT H BEEN APPROVED DATE: te Application for TEMPORARY PERMIT TO OPERATE y .. t � • 1 � : 1 • • 1 � • y � � � • Business Name: Apex Tent & Party Applicant Name: Phone: (714) 573-2000 Address: Email: shane@apextentandparty.com Email: Contact Name: Shane McAlister Contact Name: 12141TIMUL0101 Event Name: Tower Jazz Company BBQ Event Address: 4321 Jamboree Road Newport Beach, Ca. 92660 Event Date: 9/18/16 Event Time: 10 am - 5pm No. of Attendees: 100 SPECIALO• / (A site plan is required. Z✓ Tents and Membrane Structures Size of tent(s)40'x60' & 10'x10' In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. El Other (specify) SPECIAL EVENT FEES F7 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑$159.00 - Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or holiday, (2 hour minimum) BUILDING ADMINISTRATION N Special Conditions of Permit Apply, **(See Attached) ��j 06 Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2075. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F:I CDDISharedlLIFESAFETVSERVICESIFormsL4pplication for Temp Permit (05.24.2016) OW City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 9/18/16 Tower Jazz Company BBQ Tower Jazz 4321 Jamboree 100 Guests TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. IIC2t IMS 4321 Jemwee Rd -- Goa!ta Maps (')O glic.,� M,-I S 4321 Jamboree Rd �� �, ,/� �r r�.. t „ �� �-�, .,1, to 1�•.� ,. �,< t ��...r !ittps:/Awm.gwglo,ccxn/mepa/p!ace14321+Jomborea4,Rd,+Newport+beach,+GA+92C,6WP_33.66404G9,-117.$MO$6,98midata=13m111e3!4m7!im4!3m3iisOx... Tented Area (40 FT X 60 FT) For: Fire Department Event: TowerJazz Family GUEST TABLE ❑ GUEST of """tame t Date treated or REGISTERED AZTEC TENTS franufactwed APPLICATION 2665 COLUMBIA ST CONCERN NO. TORRANCE, CA 90503 (800)228-3687 CAL COMB F419.01 This is to cartiTy that the materials described below hereof have been flame retardant treated {or are inherently nontlammable) FOR Apex Tent & Party 2152 Alton Parkway fp Suite H Fn Irvine, CA 92606 Certffication is hereby made that. (check "a" or (a) The articles described below this certificate have been treated with a flame retardant chemical approved the applicationof said chemical was done in confor- and registered by the State Fire Marshal and that in State rshal_ ance with the laws of the State of California and the Rules and Regulations of the S teFireMa Name of chemical used ................... ........................ Chem. Reg. No_ ........................ IMeathodof application ................................................................................................ (b) The articles described below hereof are made from a flame -resistant fabric or material registered and approved be the State Fire Marshal for such use; Fabric has been tested and vasses NFPA 701-,?_0014. Trade name of flame -resistant fabric or material Used_ 1--!n,r*dFbiC Reg. No . ...... ...... The FlameM Retardant Process Used L.Be Removed by Washing (VAII or W91 not) David Bradley Chuck Miller President Name cff.ArPLk--11r or PrOdA:110n Supennten t Title A i' A CUSTOMER ORDER NO. ITEMS MANUFACTURED: APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644.3106 Fax (949) 644.3120 NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SE ICES DIVISION sig, hdire Depart ent Business Name: Avalon Tent & Party Applicant Name: Phone: (714) 635-6010 Address: Email: aubrey@avalontent.com Email: Contact Name: Aubrey Bayoneta Contact Name: Event Name:Clubhouse Structure on Golf Course Event Address:1600 East Coast Hwy Newport Beach CA 92660 Event Date:5/02/16 - 5/23116 1 Event Time: $ pM_- $ PM __ N_q.ofAttendees jl^pQ SPECIAL EVENT PERMIT .- • (A site plan is d for all permits, except candle permits. Feeapplies to each individual Permit as markedbelow) Tents and Membrane Structures Size of tent(s)15Mx20M (50'x66') In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) Op -Location, of Fite Extinguishers (minimum; 2 A:10- B:C) with current service tag ► "No Smoking" signs ► ► Diagram for interior including location of chairs; tables, merchandise"Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per.person for events without tables and. chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures l ► Weeds, grass, brush, trash, and other combustible materials shall be. kept a minimum of 10 feet from LP -gas tanks 0 Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity, of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. 0 Candles & Open Flames In Assembly Areas Quantity of candles - ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions-*6 followed. ❑ Other (specifySPECIAL EVENT FEES 0 $46.00 - Candles (includes first time and special event) $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). $159.00 — Inspection during contiguous normal business hours (1 hour minimum): Ins ection Burin non-contiuous normal business hours, weekend or holida , 2 hour, minimum) FIRE ADMINISTRATION ONLY Al Special Conditions of PennitApply, **(See Attached} Invoice No: FS64QG Customer No: Rates changed per new Master Fee Schedule adopted byResolution No. 2015-76 on September 22, 2015., Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, :a new Permit is required F:ILifeSafetySeiviceslFonns/AppliciOn'for Temp Permit - special Event (09-22-15) Pil A.1 City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 5/02/2016 — 5/23/16 Newport Beach Country Club 1600 E. Coast Hwy 160 Guests TENT: • Inspection required on all tent permits. Inspection fees apply, call when ready for inspection. • Post occupant load • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured. Open flame or other devices emitting flame, such as candles, are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. 0 C) 0 C) C) 0 0 0 N5 Elko" 64 1S,SUEt3 B1!;. Aighiere' d Eabric,,or: •'Concerr:'$u.p§er S-7-7 7 0 1 +Customer invoiceAb.. ' rt fitate:, of Flame..:Resstance ISSUED BY;_, 'Covin..5ates: &.Converting`,Inc '2055 Barr Q0 Street 'H,uhtingion.Park, CA 90255 52`8`.65 8S%Qty: 3,.1'00 Galrsr: CL)JAR' Date: 04/1/2013 "This'is1o,certify that the materials described below hove been treated with a flame-retardant chemical or are inherently nonflammable. FORS AVALON TENT & PARTY ADDRESS•' 1339 S. ALLEC STREET - 'CITY:... ANAHEIM STATE; I CA, '92.805 Certification is hereby, made. that: (.Check "ci"' or "b,") (a) The -articles described on the reverse side of this Certificate have ,been treated -with a flame-retardant chemical approved and F-1 registered :by theState.Fire Marshal' and the application of said chemical was done-in,conformance with the laws of the State of California and the Rules,and Regulations of'the State Fire Marshal. Name of chemical used: Chemical Registration #: Method of application: a (b) The articles described above are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. �,Trade, Name of flarne-resistant fabric or material used: DOUBLE POLISH CLEAR VINYL Registration #: F-77101 _ _ The Flame Retardant Process Used _,WILL NOT Be Removed By Washing (will or will not) N/A BY: MARISOL NANEZ OFFICE MANAGER .Name ofApplicator or Production Superintendent Name rllle CALIFOhNIA DEPARTMENT OF FORESTRY and FIRE PAOTZCTX,'0N ] OFFICE OF THE STATE FIRE- KAR8HA-L, REGISTERED FLAME RESISTANT PRODUCT Product: DURASK I Product Maeketed By: VEFM16A3 INDUTEX GMBH INDUSTRIESTR 56 47803 KAFELD GEPJ4ANY This pro(luct n State Fire Mar: The scope of t] CALIFORNI, FABRICS, GI California StaL ets the minimum requirement5 of flame resistance establIslidd by the,, California 41 for products identified in Section 13115, California Healtb und'$a(cty Qoft,. approved use of this product is provided in the current edition of the APPROVED LIST OF FLAME RETARDANT Cif E MICAL9-AND �ERAI, AND LIMITED APPLICA71JONS CONCERNS publi0eV by the Fire Marshal. Deputy I- tate Fire Marshal - wpo,Rr $r Ok .. , fi COMMUNITY DEVELOPMENT DEPARTMENT .v LIFE SAFETY SERVICES 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 =- www.newnortbeachca_cl 1 (949) 644-3200 1 FAX (949) 644-3250 COMMUNITY DEVELOPMENT DEPARTMENT LIFE. SAFETY RVICES THIS MIT H BEEN APPROVED T DATE: a ` Application for TEMPORARY PERMIT TO OPERATE Business Name:Avalon Tent & Party Applicant Name: Phone: (714) 635-6010 Address: Email: aubrev@avalontent.com Email: Contact Name:Aubrey Bayoneta Contact Name: Event Name: CGA Tournament Event Address: 1600 East Coast Hwy Newport Beach CA 92660 Event Date: Mon, 7/11 /16 Event Time: 8 am - 6:30 pm No. of Attendees : 180 SPECIAL EVENT PERMIT INFORMATION (A site plan is required for all permits. Fee applies to each individual Permit as marked below) Tents and Membrane Structures Size of tent(s) 40 X 60 In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► 'No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. []Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks []Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ElOther (specify) SPECIAL EVENT FEES 142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). Q$159.00 - Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or holiday, (2 hour minimum) BUILDING ADMINISTRATION ONLY )fSpecial Conditions of Permit Apply, **(See Attached) SriV3 Rates changed per new Master Fee Schedule adopted Dy Kesorarron roo. Zu70-ro on 4epremoer zc, cua a. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required I F:I CDDISharoMFESAFETYSERWCES1FormsiAppllcagon for Temp Permtt(05.24.2010) 01W City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 7/11/16 Newport Beach Country Club 1600 E. Coast Hwy A.K.A. One Clubhouse Drive 180 Guests TENT: • Inspection required on all tent permits. Inspection fees apply, call when ready for inspection. • Post occupant load • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured. Open flame or other devices emitting flame, such as candles, are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. A 0,1 GO h�e (2) I Coo 0 Cooley- I'VVY-1 N ejr-+ Beocin CA 2�6o MON) -7/1 VjLq Certificate of Flame Re t nce �. T seTs REGISTERED ISSUED BY -,d APPLICATION CPNCMN No. Herculitt: Products, Inc, P.0)3=415 FF-92001 EfnijsviJ16,PA f7318 I CuttoM0 Ntiftiodr' 14114. This is to c0rtthi that the materials described on the bottom hereqfkave (or qre inherently nonflammable). FOR AVALON TENT MANUFACTURING INC AT CITY ANAHEIM STATE Certification is hereby made that. (Check "a'or "b'j STREET- F—] (a) The articles dcs:,,ib,dotithe ,bottorn:ijf approved and registered by the State:RreMarsbal one in conformanc e with the laws of the Statc.of iCaliforpia and Fire Marshal, Name of Chemical used Chem Reg:w- 0, - — -- , - - Method' of application F(b) The articles described on, the bottom hereof aremadeftrn o 1 and -approved by the. State Fire Marshal for such use. Trade name. of flarnc-resistant fabric or matdriatused ARCH1TEN7'W6[0QL".5,' The FlameRetardant Process Used WILL NOT 13�0keiftowd'*WaAfilg 6011orivithiot), BY j Name of Production Superintendent 'Cv ......... .......................... ........ ---------- ------- CONTROLNUMBER CUSTOMER ORDER NUMBER CUSTOMER INVOICE NUMBER YARDS OR QUANTITY 'COLOR ,STYLE DATE PROCESSED 13806-0 VERBAL> DAVID BRUMLEY 194716 1,U6 YD White. ARCHTENT VT B10 OLS- 5 APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644.3106 Fax (949) 644.3120 NtVVPURT H FIR DEPARTMENT UFE SAF SERVI ES DIVISION T!Med IT BEENApPR�VED once am ped arit� BYy i✓. a nt DATE: 14 - 9J9" 1//7 Business Name: Destination Concepts inc. Applicant Name: v Phone: 858_795_3137 Address: Email: Jonathan.roudebush@desUnaUonconcepts.com Email: Contact Name: Jonathan Roudebush Contact Name: Event Name: Victoria's Secret Angels Institute Event Address: Resort at Pelican Hill (22701 S. Pelican Hill Rd. Newport Coast, CA 92657 Event Date:4/26/16 Event Time: 5:30pm-10:00pm No of Attendees :120_ _ 0 Tents and Membrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the folowhq: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers.(minimum 2-A: 110- 8:C) with current service tag ► `Na Smoking" signs ► Diagram for interior inducting location of chairs, tables, merchandise ► occupant load for event Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. Liquefied Petroleum Gas (LP -gas) Size of tank(s)Sy /KL— Quantity of tanks �► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks 0 Liquid or Gas -Fueled Vehicles or Equipment In Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies S Open Flames in Assembly Areas Quantity of candies ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. 0 $46.00 - Candies (includes first time and special event) 6$142.00 - Per Individual Permit as marked above, (inspection fee included it during weekday normal business hours). 13$159.00 —inspection during contiguous normal business hours (1 hour minimum): MB Special Conditions of Permit Apply, *(See Atiachedo h invoice No: FS5400 Customer No: S� V Rates changed per new Master Fee Schedule adopted by Resolution No. 2015.76 on September 22, 2015 Note: Effective Fire Permits are not transferable. !f business sold, or ff quantities or processes change, a new Permit is required FiLffeSafe1yServ1ca9Vwrms1Appftcetion for Temp Permit- $pedal Event (09-2j2.115) VictorlWs Secret 4/26/16 Event Event Lawn 101 Tw- WT N. 41 City of Newport Beach Fire Department Special Event Permit Conditions Event: 4/26/2016 Resort at Pelican Hill 22701 Pelican Hill Road South Event Lawn- LPG Fire Pit 120 Guests Propane Fire Pit: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Heating equipment shall not be located within 10 feet of building exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Wun, Raymi From: Brandi Langham <brandi@destinationconcepts.com> Sent: Wednesday, April 20, 2016 1:39 PM To: Wun, Raymi Cc: Jonathan Roudebush Subject: Fire Permit for Pelican Hill - Victoria's Secret #7145 Attachments: Fire Permit.pdf Hi Raymi, I hope that you are having a great week. Attached is the fire permit application and the.diagram. Below is a photo of the fire pits we will be using. Let me know if you have any questions, thank you! BRANDI LANGHAM I ACCOUNT COORDINATOR C 858.666.56511 T 858.274.7979 I D 858.795.3160 www.destinationconcepts.com I twitter facebook linkedin DestinationConceptsinc �,.,.�..� IDS ` � WARNING: This electronic mailing is intended only for the use of the individual or entity to whom this transaction is addressed and may contain information which is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient or the employee or agent responsible for delivering this electronic mailing to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please: notify us immediately by reply electronic mail, or by telephone at (858) 274-7979, and permanently delete the original electronic mailing from your data storage. Thank you. N APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEINPOAI' DE,AM FM Business Name: Duncan McIntosh Co., Inc Applicant Name: Duncan McIntosh Phone: 949-981-9219 Address: PO Box 1337 Email: duncan@goboating.com Email: duncan@goboating.com Contact Name: Duncan McIntosh Contact Name: Duncan Event Name: 43rd Annual Newport Boat Show Event Address: 3400 Via Oporto, Newport Beach CA 92663 Event Date: 5/12-15/2016 Event Time: 10am - 7 pm No of Attendees: 1000 per day SPECIAL EVENT PERMIT INFORMATION (A site plan is required for allpermits, except candle permits. Fee applies to each individual.. 0 Tents and Membrane Structures Size of tent(s) 10X10 In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) N/A Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles NA ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles N/A ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify} SPECIAL EVENT FEES O A46.00 - Candies (includes first time and special event) jd $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 — Inspection during contiguous normal business hours (1 hour minimum): Ins ection during non-contiguous normal business hours, weekend or holiday, (2 hour -minimum) FIRE ADMINISTRATION 1 ONLY ❑ Special Conditions of Permit Apply, `(See Attached) Invoice No: FS5400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2075. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.[LifeSaretyServicesIForms/Application for Temp Permit -Special Event (0922-15) -OW ZqojVMa YMAS 1RU City of Newport Beach Fire Department Special Event Conditions Event: 05/12 — 05/15/16 43rd Annual Newport Boat Show 3400 Via Oporto, Newport Beach (Lido) 1,000 Guests Daily • All cooking using propane or open flame must be approved by the NBFD. Permits and inspection required for propane. • Inspection required for tents and docks. • Visible and Mounted Fire Extinguishers with Current Service Tags located at a maximum of 75' walking distance to the nearest extinguisher. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • Provide 5 portable emergency fire pumps and place at beginning of each dock. During inspection, permittee will be required to have individuals demonstrate the operation of the emergency fire pumps. Pumps must be on site when first boat arrives. • Maintain dock width clearance for pedestrian traffic. • Electrical cords, hoses, and other equipment shall be maintained in an orderly manner to prevent trip hazard. • Heaters on decks above docks shall remain off while canopies are in use. • Maintain 18' wide fire lane on Via Oporto. All boats and displays must be arranged to maintain a minimum of 18' fire lane. Adhere to fire lane signage & red curb striping. No vehicles shall be stopped in these areas for any reason, including loading & unloading. Citations may be issued. • Provide (4) water filled vehicle barriers at both ends of Via Oporto. Two of the barriers shall be placed on carts at each end allowing barriers to be movable to provide for emergency access to the fire department. • Provide 24 hour fire watch for the entire length of the event as described in the Event Date Conditions. Fire Watch provided from the time first boat is brought in until the last boat that leaves. Please call to arrange an inspection when you are ready ,L- APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT .Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax,(949) 644-3120 %iZVVPORT BEACH FIRE DEPARTMENT LIFE SAFETY SERVICES DIVISION T PER - HArS BEEN-APPRC?VED t3Y: DATI_: -1 Business Name: Applicant Name: Phoner Address: Emai Email: Contact Nam : W .0 �� Contact Name: Event Name: Event Address:c Event Date: Event lime: 4/14/20tfo SPM-_j,46ofAt*dpqss1 2p .. ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the ,following: ► Squate, P.00tage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishes-(mihiirtitm 2-A:10- B:C) With current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs,'tables,.merchandise ►'OccupantloM f6r event. Use 15 square feet per person for events with tables and chairs. Use seven square -feet per person .forevents, without tables and chairs. An approvedoccupant load will be listed as a requirement of permit when'issued. 0' Liquefied Petroleum Gas (LP -gas) Size of'tank(s)..� 4 6s Quantity of tanks Z ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. 0 Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height -and ensure conditions are, followed. ❑ Other (specify) ❑ $46.00 - Candles (includes first time and special event) 50 $142.00- Per Individual Permit as marked above, (inspection fee included if during weekday normal'6:u8iness.hours). ❑ $159.00—Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or holiday. l2,hou'r rhinimnmt Special Conditions of Permit Apply, '*(See Aftacfiedj Invoice No: FS5400 Customer No Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76°on September 22, 2015, Note: Effective Fire Permits are not transferable. If business sold, or if quantities orprocesses change;, a new. %rmit�is requited F:ILifesafetyservicesiForins%Appftcatlon forfiemp Permit-:Spaik went (09-. 4tig) City of Newport Beach Fire Department Propane Heater/Cooking Conditions Event: 4/19/2016 Lennar Corporation Fairmont Hotel 4500 MacArthur 20 Guests LPG: • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured from tipping. If LPG used, permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canoov, or temporary membrane structure. • Provide at least one 2A:1013C fire extinguisher at all cooking locations. • Outdoor cooking that produces sparks or grease -laden vapors shall be a minimum of 20 feet from tents. • _ An inspection by NBFD personnel must be performed and the cooking area approved before use. • No deviation from the approved plan or permit unless approved by NBFD personnel. • Temporary furniture, tables, chairs, heaters, fire pits shall not block the accessible and egress route. Maintain a minimum of 48" clear GENERAL SAFETY: • Do not obstruct exits from the building. • Do not exceed 104 occupants inside the suite/tenant space at any time. • Do not obstruct Fire Department access. • Do not obstruct any firefighting equipment. X* 44F s Lennar Corporation Tuesday, April 19th Palms Pool electrical (4) CocR#((( LdWr,4b1q&wIthflyb chie6s; The Palms Pool Place Heater In Center Cabana,***Cabana' service Place Food Here face BAR' ERE Iff x R . >, ICI -a center Z tO 0 service 1. Vwl I Q* Cedar E10 APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach; CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT a ,ON !teaQROVEA to "ve BY: Business Name:. pplicant Name: Phone6jM 1 Address: Email: Email: Contact Name: t Contact, Name: Event Name: lit 1��Cy Event Address:110 1 c Y9,7 Lw Event Date: f, Event Time:'' " . lr No of Aftendees : cri o Ji J 1 • •l •l l 1' •► l I' off f 1 1 •' •f f• f ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, efe.) ► Location, of.Fire Extingui'shers.,(tniniinum 2-A: 10- B:C) with current service, tag 0-"No Smoking" signs Po -Diagram for interior including location of chairs, tallies, merchandise ► Occup'ant,load for event. Use 15 square feet per person for events with tables and chairs. Use seven .square Jeet per person for events withoutJabies and "chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tank's ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of-vehicles.�_---- Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and.ensure-coriditiphs aye followed: ❑ $46.00 - Candles (includes first time and. special event) �$140.00 - Per Individual Permit as marked above, (inspection fee included if during, weekdsynormalbusine"ss hours). $156.00 —Inspection during contiguous normal business hours (1 hour minimum); Inspection Burin ngn-contiq uous normal business .hours, weekend 6rhblida ', 2'hoiir minimum , "FIREADMINIF,•+ONLY ❑ Special Conditions of Permit Apply;"**(See Attached) invoice No: F$5400 :Customer No: 0 New Master Fee Schedule adopted October Z2; 2013 per Resolution No. 2073-72., Note: Effective Fire Permits are not transferable. if business sold, or if quantities or processbs change, .a nbw'Permit fs. required F.ICifeSaretyServiceslForms/Application for Temp Permil - SpecralEvent (04.03.14) Newport Beach Fire Department Fire Prevention Division Special Event Special Requirements Liquid or Gas -fueled Vehicles or Equipment in Assembly Buildings Fuel in the fuel tank shall not exceed one quarter of the tank capacity or 5 gallons, whichever is less. 2. Vehicle shall have gas cap locked and sealed to prevent the escape of vapors. 3. Vehicle battery shall be disconnected. 4. The location of vehicle shall not obstruct or block exit aisle ways or exits. 5. Vehicles shall be inspected and approved by the NBFD before event. :dRX-Ift"Wil-A U N O O w C v U 4 APPLICATION FOR TEMPORARY PERMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1COCivic Center Drive, Newport Beach, CA 926M (9" 644-3106Fax (9419) 644-312fJ Business Name: Jason's Catered Events Applicant Name: Phone: 714-333-7524 cell # Address: Email: adri@jasonscatering.com Email: Contact Name: Adri Toscano Contact Name: NEWPORT BEACH RM OMAM MEW UFE SERVICES DMStON taC(](� jTrvsrz*°� ^`wy`���'1 .� r+�t:•_,�M_I f��t��r�. t:�e�t�.,ar€�r�ena ii ;pr'r eTei L7'�. BY• DATE:-_ - P Event Name: Wedding: Amy & Pedro Event Address: Environmental Nature Center, 1601 E 16th St., Newport Beach CA 92663 Event Date: 4/30/2016 Event Time: 4:30pm No of Attendees : Po ❑ Tents and Umbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant toad for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet perperson for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. M Liquefied Petroleum Gas (LP -gas) Size of tank(s) I 73r I bg A .:itl y Quantity of tanks I ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feetfrom LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify} ❑ $46.00 - Candles (includes first time and special event) Q $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). lil $159.00 -Inspection during; contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or hoiiday.12 hour minim„mt ❑ Special Conditions ofFerr»tA pply, '(SeeA tiached) Invoice No: FS5�0 Customer No: G_Ti99_L__ Rates changed per newMasterFee Schedule adopted byR esolutton Na 2015-76 on SepWh ber22r 2015, Abte. Eifeclive Fire Permits are not transferable. If business sold, orifquariaes orpmeesses change, a newf ennitls required. F, I iFd aretySenrices'FonmAi ppAcadon fort enpP&nft-Speciaf Fventmg9 22 m) City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: 4/30/2016 Amy & Pedro Wedding Environmental Nature Center (ENC) 1601 E. 16th Street 85 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, -tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 1 FAX (949) 644-3250 COMMUNITY DEVELOPMEN DEPARTMENT S FETY SE ICES IRE P I HAS EN APPROVED BY: DATE: Application for TEMPORARY PERMIT TO OPERATE 7Businesse: Newport Beach Marriott Hotel & Spa Applicant Name: 729-3573 Address: Email: taylor.luce@marriott.com Email: Contact Name: Taylor Luce Contact Name: it Event Name: Genesis GXM Immersion Event Address: 900 Newport Center Drive, Newport Beach, CA 92660 Event Date: 9/26/16 - 9/29/16 Event Time: 7:30am-5pm daily No. of Attendees :100 SPECIAL EVENT PERMIT INFORMATION (A site plan is required for all permits. Fee applies to each individual Permit as marked, ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) No. Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag No. "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks No. Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks Z Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles 8 ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑Other (specify) SPECIAL EVENT FEES ❑✓ $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑$159.00 - Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or holiday, (2 hour minimum) BUILDING ADMINISTRATION ONLY $1 Special Conditions of Permit Apply, "(See Attached) Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.I CDDISharedlLIFESAFETYSERVICESIFormslApplication for Temp Permit (05.24.2016) I L�2 W / Newport Beach Fire Department Fire Prevention Division Special Event Special Requirements Liquid or Gas -fueled Vehicles or Equipment in Assembly Buildings 1. Fuel in the fuel tank shall not exceed one quarter of the tank capacity or 5 gallons, whichever is less. 2. Vehicle shall have gas cap locked and sealed to prevent the escape of vapors. 3. Vehicle battery shall be disconnected. 4. The location of vehicle shall not obstruct or block exit aisle ways or exits. 5. Vehicles shall be inspected and approved by the NBFD before event. me- sis GXM Immersion 26/16 - 9/29/16 feral Session: Salons A-C akout #l: Salon D .akout #2: Salons E&F Grand Pacific Ballroom Salon C Salon D T + 8.0 fit } Outside AV Contact: Firas Sarsour (ON .Services) Table Table Car Contact: Bill Follmer (Genesis) Hotel to provide all seating, tables, and riser. Salo Salo �� a ''�o ,oa - -• ----^'z' two J� �\ zo uz SP . Q � 3• O _ . F ED � C � W � V [nUsom z u o � v o a°i a �. o 'C co a) a Lo Z W iL w 2 u o0 d ZrnZ u;�. if "% APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644.3106 Fax (949) 644.3120 NEWPORTINACHIPMDEPAIi'1AlIEhi!` uFE SAFEW SERVI(M OnnsiM tH�=flt��tt8�t'� si ed by Fire Departm T OATE:� Business Name: o Du [Email: pplicant Name: Phone: g q9g _ ddress: Email: �. ru�iONt � 6uJContact Name:( �� ontact Name: - 9 Event Name: oc Event Address: 12>-= 016 - CA- Ck (o fa 0 Event Date: 1, , Zc& . 20 t kp Event'time: ?5- S pM No of Attendees - SPECIAL 5 pp O- • .. except marked below) Tents and Membrane Structures Size of tent(s) So In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the ollowing: ► Square Footage of canopy; tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load -for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. Liquefied Petroleum Gas (LP -gas) Size of tank(s): 5cZ^-�_ Quantity of tanks 2 ► Site plan required showing location of cooking or heating equipment and strucffuures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candies ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) fy .! ❑ $46.00 - Candles (includes first time and special event) "W142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday -normal business hours). ❑ $159.00 - Inspection during contiguous normal business hours (1 hour minimum): Inspection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum r. ❑ Special Conditions of Permit Apply, '*(See Attached) owr Invoice No: FS5400 Customer No: 51 Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Fire Permits are not transferable. !f business sold, or if quantities or processes change, a new Permit is required. F:1LifeSafeiyServicesirwrms/Application for Temp Permit • SpeciaLEvent (09.22-15) rr c3vcAi%iuw &413imfii'i wAi 53ir City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: Dunes — Boots on the Beach 5/28/16 1131 Back Bay Dr. 500 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbegues, fryers etc) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time -4, http://nbgis newportbeachca goy/Geacortex/Essentials/REST/TempFiles/Export ipg?quid=35008cff-b330-4099-b936- a2cd6be6c8ae&contentTvpe=image%2Fipeg Screen clipping taken: 05/24/2016 11:25 AM Unfiled Notes Page 1 4s :,y v � m coo � o a I mass ISBN 00 0 goo j MEN O0 � F k tons epeaej ,g apeoej ;g rwajpooh-- U aoue-ug yay R APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644.3106 Fax (949) 644.3120 Business Name: A Phone: N Email: + out oNGu ot.�C,{��3.G�AA Contact Name: Event Name: Event Address: 1\2,t gACL py", D x- , Event Date.JU►I tg, . I % ,2$, 2.(j Event Time: C?— `3 NEWPORT BEACH FIRE DEPARTMENT lJFE SAFETY S CES DIIISION THIS,Ir @WO{'.p�OIIED si e by ire Dep rt nt BY �_ ae DATE (.(� ,��? Applicant Name: Address: Email: Contact Name, No of Attendees: 500 rents and Membrane Structures Size of tent(s)_ _ in excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A`.10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise-► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks © Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candies 1115 P� ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are ollowed. 0 Other .$46.00 - Candles (includes first time and special event) ;$142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). $159.00 — Inspection during contiguous normal business hours (1 hour minimum): inspection durina non -continuous normal business hours, weekend or holiday, (2 hour minimum) Special Conditions of Permit Apply, **(See Attached) Invoice No: FS5400 Customer No: , .910bir I Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015, Note: Effective Fire Permits are not transferable. If business sold, or if quantifies or processes change, a new Permit is required. F.,fLifeSafetyServiceslFour slApplicatighforTempPermit -Special Event(09.2215) City of Newport Beach Fire Department Special Event Permit Conditions Event: June 18, 19, 25, 26, 2016 Beach Side Market Newport Dunes Resort 1131 Back Bay Drive 500 Guests TENTS: • A permit shall be required when there is a tent or group of tents, with sidewalls over 400 square feet (4-10'x10's) or 700 square feet, without sidewalls (Canopies). • If there is 12 foot of clear space (Fire Break) between the group(s) of tents, each group of canopies would be considered a separate area of tent(s). LPG: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • No cooking in tents or canopies • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. • Cooking area shall be cordoned off to keep general public away from cooking equipment If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. y O e-i O 0 O e-i O vi c .O 0 m U. c N C O m � O O @ O m a V o N X � � O O N v C aO O i:+ O X x Z O O U O co v� O OX cc u i0 V V N Ox' �-t O V N W !' O Q rl F— 0 00 V o�4txCy COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFE"I'Y SERVICES 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 ww+n�.newoortbeachca.gov 1 (949) 644-32001 FAX (949) 644-3250 COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY JERVICES THIS MIT H BEEN APPROVED BY: DATE: Application for TEMPORARY PERMIT TO OPERATE Business Name:Stan Miller Yachts Applicant Name: Phone: 562-598-9433 Address: Email: caprice@stanmiller.com Email: Contact Name:Caprice Baxendel) Contact Name: • fA111 Event Name:SMY Invitational 2016 Event Address:829 Harbor Island Drive, Newport Beach, CA 92660 Event Date:Sept 9th & 11 th 20161 Event Time:5:30pm No. of Attendees :75 SPECIAL EVENT PERMIT INFORMATION (A site plan is required for all permits. Fee applies to each individual Permit as marked below) Tents and Membrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10, B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. Liquefied Petroleum Gas (LP -gas) Size of tank(s)10 Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks []Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. 00ther (specify) SPECIAL $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours), [ $159.00 - Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or holiday, (2 hour minimum) BUILDING ADMINISTRATION N Special Conditions of Permit Apply, **(See Attached) 2'Qj Rates changed per new Master Fee Schedule adopted by Resolution No. 2015.76 on September 22, 2015, (Vote: Effective Fire Permits are not transferable. if business sold, or if quantities or processes change, a new Permit is required. FA ODDISharedli:(FESAFENSERViCESIFormsM4pplicaflon for Temp Permit (05.24,2016) Yy ENTRANCE] 1z""Al"m 0 68FT �M COD r , ,�•r ,y v A w t w v i�� � Wei At - AM IL ' (D fdr•.�+.114w�,:b a • - +AAs�a nrNwk++�AraaANlte��i�.� iA�+r,.....: �.r �, r,.w -� ..w,rf,�n,,.r.... Y ., �� a .,.,...,.... »..,,.,...�.... �U �• A • w p • , • A s COMMUNITY DEVELOPMENT DEPARTMENI COMMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES _ r ' LIFE SAFETY SERVICES THIS FIRE PERMIT HAS BEE PPROVED 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 www.newnortbeachca.gov 1(949) 644-3200 1 FAX (949) 644-3250 BY: _- DATE: 6 ? 3 /6 Application for TEMPORARY PERMIT TO OPERATE Business Name:Top Tents Applicant Name: Phone:714-206-4779 1 Address: Email: veronica a@toptentspromotions.com ® Email: I Contact Name: jose Viramontes Event Name: Northgate Market Event Address: Event Date:06/2412016 Contact Name: Golf Tournament Event Time:$:30 am No. of Attendees :300 W1ne4ex!`e_a!sdo*f400 embd aStructu S' ofto s) sq ft es or 700 sq ft withou sides Site plan required to include the following: ►Square oofage of canopy, tent or membrane structure ► Number of Tent Walls Ni Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events withoUt-tables- and- chairs. An approved occupant load will be listed as a requirement of permit when issued. ,, k quefied Petroleum Gas (LP -gas) Size of tanks} / , G-6 — Quantity of tanks Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ®Liquid or Gas -Fueled vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. will e will be to tanks 0$142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0$159.00 - Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or holiday, (2 hour minimum) ❑ Special Conditions of Permit Apply, **(See Attached) T1393to Rates changed per new Master Fee Schedule adopted by Resolution No. 201E-76 on September 22, 2015. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new -Permit is required. R1 CDDIShareAlFESAFENSERWCESIFormslApplicaiion for Temp Permit (05.24.21016) City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: Pelican Hill — Golf tournament 6/24/16 22701 S. Pelican Hill Rd. 300 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required please contact the Fire Department to arrange date and time E - s c� _ e a: - - - .. -i T''_'1�.� - '_:{ iy •fir!: �+� t91( �- ;.y-' •t�;'' '�''"' ter'- .:, r -.d r - k �4 �• A G 't • - : h ti r �� 5 V 1' ter _ - - _ ;1.. - �•�T 'r !S�! ��.�i - u - +O l} x^ j Mpg 4 a� 5 4-A - _ - �" •fit' ri to , spy .r ;il; .j �' +�' (� :t "''`s.M': � t sd. r2 •� - rr..Visfi�-Y: 4, � iy ..S 'Zyl�-'. tht dw•^^..-�.-�- .rre+c>r i• �'t`_ W r m �J v APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 926M (949) 644-3106Fax (949) 644-312D NEWPORT BEACH FIRE DEPARTMENT LJFrpQ iM0JAd THIS IFIA RRYED e e ve. 6V: oA • q ti10 4 Business Name: Signature Party Rentals Applicant Name: Phone: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: Event Name: UBS evening @ the Coliseum Pool - C#154857 Event Address: Resort at Pelican Hill, 22701 S Pelican Hill Rd., Newport Coast CA 92657 Event Date: 4-18-2016 Event Time: 6pm 7_Kb of Attendees : 50 SPECIAL EVENT PERIVIT • • 1 • siteplan '• '1 forall pernits, except candlepernits. Fee applies to each individualPerrdtas n7arked I?f ❑ Tents and Nkmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq It without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise IN, Occupant load for event. Use 15 square feet per person for events with tables and chairs.. Use seven square feet per person for everts without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. © Liquefied Petroleum Gas (LP -gas) Size of tank(s)10 gal Quantity of tanks 1 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas Tueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection during non-contiguous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY 11 Special Conditions W eadtA pply, **(SeeA ttached) Invoice No: FS 540D Customer No: Rates changed per newMasterFee Schedule adopted by esoludon Na 2015-76 on SepWn ber22, 2015. Note: Effective Fire Permits are not transferable. ifbusiness sold, orifquantides orprocesses change, a newPermitis required. F: i ifeSafetj6ervicesIForms/A pplication forTerrp Pemtit- Specialf vent(09-22.15) City of Newport Beach Fire Department Special Event Permit Conditions Event: 4/18/16 @ 6pm Resort at Pelican Hill S. Pelican Hill Road Newport Coast Coliseum Pool- LPG 50 Guests Propane Appliances: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Heating equipment shall not be located within 10 feet of building exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. w C FOIL POP, 0 N orsIV 0 '- a APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT hUFE SAFETY S Vc(� By.. - rese tative. 7Busines! t me: Signature Party Rentals Applicant Name: 954-2636 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: t• kyl r-, I I t Event Name: Resort at Pelican Hill, St. Joseph Healthcare- R# 63072 Event Address: 22701 Pelican Hill Road South, Newport Beach. CA 92660 Event Date: 4/18/2016 Event Time: 4prn No of Attendees : 210 guests SPECIAL EVENT PERMIT INFORMATION site plan , for 0 Tents and Membrane Structures Size of tent(s)40'X 80' In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) NA Quantity of tanks N/A ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a Annual Permit Expiration Date ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) W $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection Burin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION ONLY ❑ Special Conditions of Permit Apply, **(See Attached) nn �� Invoice No: Customer No: S10940 New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.lLifeSafetyServicesl Forms/Application for Temp Permit - Special Event (11.07.13) City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 4/18/2016 Golf Pavilion Pelican Hill Golf Course 22701 Pelican Hill Road South 210 Max Guests TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. 0 0 0 \ 0 0 o ?`Av., At =e1` 4aii::I311: I 0.000 0 0 0 0 0 0 0 0 0-0 I -44� Auction C) Pt-'-T- St. Joseph Hospital - 4/18/16 Reception 4pm Dinner5ptn 0 0 6lilekded'Buift"Os ®r 2BEmtenders- Seating for 210 fflj rArt r f � E .. f f . f f r - r .. 1 ? I =fist .....t . '�,� � ... 5 r _ _. � .. _�-•,. ��{y. m ,r. i #. Pel�� Hill Golf Club 4 • n WN " rK r y 9 �t Y • �;Si 1 F • � �h � — �.: !'��r'�S t �, ifs+�� �. J . ti w r . s 4 ♦ - � � .40 .100;t `'`�y' Imagery Date: 4/16/2013 33035'05.94" N 1170 ,tih ` i• _ ...3 r•~t•..i � 's r .Y - ` ,�; - -srr 5 :ts £ rJ� w.v •�' ' »4 k� a. , : tr .. 4 rz 5 C , i�' • -.:.a yid i .>. S{i FMM {"''�'• ..,iJS xf 7 •t1�w � a - • ♦ • .. •. , • 1- a . S� j:'�+�'•..Ci-S•�^'�,•le3'•. Q` • rO S a• x •."Prr .-t ^ ' . i "y'• \ ir' Y , • , y, ~'`y,�iw1{��"iJp�M '}f' ''<� Tf°''' `S •1�^i .ate: ,' :.• •{' " +�.'«'•`', vet VARM 7J;iL1.L orlummom t.duo - MY- .. , .. � A a y'i _�+�; ;Wy.�,��.y •y��](,� y(.yl C' :w • ,r.�rF `♦��: r _ + :d?ir- pit: p.�rfr r• ••- `• •- ~ `-?;`:'' c +^ '%r`'7.'' •�'~••:.}' :':T, Mid.i� ,•-,.7Y..h�+e t;' n' TrtK' i �'I 3: ryy-•• ,bra__ - - - �_ irr�.,• s.:r•` C; "ih"•�'' "l, i'• 1=,.� :�:'�,e7'•'r t.�t` '«,. n' .f:... •':tiff': .?+40. jw- P, -2 WROW'i 0-1 «fir •-y •, "cf .i, ^��lri��y��F' � ' , �•t' •ftiL flint yK�•j i^ r.: `. '^i•ii. •• , r •.b. ',i !' ":^•^'�!� `!�}j ;'�T^tT�.•�' .�� r��,VVY3�i. Y:•�'i'.'M�.W,fut�• ' `;�i^ 'ye����"y Y/7+> '�•�it}yp��'�{.'���.y��j�y ` � Yv„'k•' }''• - �: �^••..e% .. _.. .��"}�Ii�� y'..��i � �S�a�!lj1Y��=?}!_,__• '��' �li� ai•Ma.-+"1^. �, rr' 'raL'a-•• tt'..•�"J'::f •j a n,,.t . 1.. " iiv: �'�' 1. µ `i,.• ,ir .. �� •'•'•,��.'•, rcf•••. •. �%1'•t' •:-£%.. YJ 3. ••�y'�\[i �%Ili•.^ 'i��`•.i• �~ ji :�,''• . , z. +3 vti^r ":•(.r. a 7` p�'�f�•� yam' - -0 i« • '•^3: .`t': ,h `ri-'NI '�' i� . y�{{��y r�jit i(� ((�� - f ~ • r:ir ... - rt} 4- .•�aY��'*K .'J'rf,CJJCt'.�• ad �•' :+• 1 .3� r`� rr 1 ^0 to-maz ROSE BRAND ,r CERTIFICATE OF FLAME RESISTANCE Rose Brand is in business in New York, New York, with headquarters in Secaucus, New .Jersey and offices also in California. The IFR (Inherently Flame Retardant) fabric described below meets the minimum requirements of flamd resistance established by the following tests: • NFPA 701 (2004 ed.), test method #1 • Calif. Title 19, #1237, small scale test • ASTM E-84 (2011); Earned a Class A rating • CAN/ULC S-109-03 for vertical fabrics • BS,5438 Test 2 (Type B) for vertical fabrics • IMO A.471 for public spaces on cruise ships Woven with non-combustible fibers, this fabric is inherently and permanently flame resistant for the life of the fabric. This flame resistance will NOT wash out. When properly maint?ined the flame resistant condition will remain unchanged. Overtime, however, accumulations of dust and air -borne oils can diminish the flame resistance of this fabric. Cold water washing with gentle detergent followed by air drying will.restore any lost flame retardance. �- .._Purcha`s'er's-Name:—SIGMA-T-URE PART-Y-REN-T-AL- - - - �- -- Rose Brand Order #: 827967 Dated: 6/5/2012 Fabric used: 670 yards of 118" polyester, Burgundy Voile For Rose Brand TeAtile Fabrics Customer Service Representative r. SPECIAL NEW YORK CITY CERTIFICATE AVAILABLE UPON REQUEST Corporate Headquarters & Warehouse 4 Emerson Lane, Secaucus, NJ 07094 800.223.1624 ViWesuCoast Sales & Warehouse 10616 Lanark Street, Sun Valley, CA 91352 800.360.5056 Canadian Representative Technically Yours, Inc., #103-7 Labatt Ave., Toronto ON M5A iZi 416.361.9390 RoseSrand.com AROSE BRAND CERTIFICATE OF FLAME RESISTANCE Rose Brand is in business in New York, New York, with headquarters in Secaucus, New Jersey and offices also in California. The IFR (Inherently Flame Retardant) fabric described below meets the minimum requirements of flame resistance established by the following tests: • NFPA 701 (2004 ed.), test method #1 • Calif. Title 19, #1237, small scale test • ASTM E-84 (2011): Earned a Class A rating • CAN/ULC S-109-03 for vertical fabrics • BS 5438 Test 2 (Type B) for vertical fabrics • IMO A.471 for public spaces on cruise ships Woven with non-combustible fibers, this fabric is inherently and permanently flame resistant for the life of the fabric. This flame resistance will NOT wash out. When properly maintained the flame resistant condition will remain unchanged. Over time, however, accumulations of dust and air -borne oils can diminish the flame resistance of Phis fabric. Cold water washing with gentle detergent followed by air drying will restore any lost flame retardance. - --Purchaser's-Name.—S1G—NA-T-URE-PAR-TY-REN-T--AL- -- - -- Rose Brand Ordery#: 827207 Dated: 6/1/2012 11 f Fabric used: 300 yards of 118" polyester, White Voile For Rose Brand Textile Fabrics SPECIAL NEW YORK CITY CERTIFICATE Customer Service Representative AVAILABLE UPON REQUEST Corporate Headquarters & Warehouse 4 Emerson Lane, Secaucus, NJ 07094 800.223.1624 West Coast Sales & Warehouse 10616 Lanark Street, Sun Valley, CA 91352 800.360.5056 Canadian Representative Technically Yours, Inc., #103-7 Labatt Ave., Toronto ON M5A 21 416.361.9390 RoseBrand.com Cert-ificate of Flame Resistance �sSTER up <n4a �- Registered No. ISSUED BY Manufactured Date F122.29 Tacoma Tent & Awning 2.7.12 ��F Tacoma, Washington •`"`" ¢q� (253) 627-4128 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). t For: Signature Party _ _ _ Addressl_ 2211 South Susan i --- -- Min at Address2: ' City: Santa Ana State, Zip: CA 92704 Certification is hereby made that: (Check "a" or "b") (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of Chemical Chem. Registered No. Method of Application (h) The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric Hercultte S-83 b/o Tent F122.29 Top 771 Registered No. -\�- - --- T'he.flame_-re dam ac.eQq� wLiLn a remoaft-b,�, i�g._._.... Darrel Brown By Josh Shanahan Name of Production -Superintendent Description: (2) 40x20 b/o Hip Ends s&b(A&E) (4) 40x10 b/o mids s&b (A&E) Serial Numbers: - .: � : -; ti'���`'��,,'�'��.��`�°ti�"`�°�,ti`��`a''�`e`ti`�'`�''z"'�'`�`�\`�\\'`.,��`.'`'`r''�ti�0`�'a.'�`o`�,�'��,'`s�4`ti�'�`�`�:�` �.�•.'�`��°�`;���a��,�`��1'"�\\�,'���'�����'�,'�'�'�.`��+'``°°�`° ���'`�►�`��'�`���, k_: - _LL. ,-- Certificate of Flame Resistance ae h - Registered No. ISSUED BY Manufactured Date F122.29 Tacoma Tent & Awning 2.7.12 Tacoma, Washington AE3A (253) 627-4128 This is to certify that the materials described below have been dame retardant treated (or are inherently nonflammable). For: Signature Party_ _ _ Addressl_ 2211 So_ uih Susan Sir-egt_ Rental Address2: City: Santa Ana State, Zip: CA 92704 Certification is hereby made that: (Check "a" or "b") (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of Chemical Chem. Registered No. ' Method of Application {t�} The articles described below are made from a flame - resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric Herculite S-83 b/o Tent F122.29 To Registered No. Darrel Brown By Josh Shanahan Name of Production Superintendent Description: (2) 40x20 b/o Hip Ends s&b(A&E) (4) 40x10 b/o mids s&b (A&E) Serial Numbers: i APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 10DCivic Center Drive, Newport Beach, CA 926M (949) 644-3106Fax (949) 644-312D Business Name: Signature Party Rentals Applicant Name Phone: 714-545-6777 Email: pchamberlin@signatureparty.com E Contact Name: Heather imm • Event Name: Pelican Hill Mar Vista Lower Patio - AC De Event Address: Resort at Pelican Hill, 22701 S Pelican F Event Date: 4-21-2016 Event Time: 5pm SPECIAL EVENT P site plan required for perTnits,except/' �' ❑ Tents and Umbrane Structures Size of tent(s)_ In excess of 400 sq ft with sides or 700 sq ft without sides Site plan r membrane structure ► Number of Tent Walls ► Location of Exits (ind B:C) with current service tag ► "No Smoking" signs ► Diagram for inter event. Use 15 square feet per person for events with.tables and chairs. An approved occupant load will be listed as a requirement of permit whet ® Liquefied Petroleum Gas (LP -gas) Size of tank(s)_ ► Site plan required showing location of cooking or heating equipment a ► Weeds, grass, brush, trash, and other combustible materials shall be I ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buil ► Diagram required of interior including location of chairs, tables, vehicle ❑ Candles & Open Flames in Assembly Areas Quantity of can ► Arrangements to be secured together as one unit, trim wicks to reduce ❑ Other (specify) SPECIAL EV ❑ $46.00 - Candles (includes first time and special event) © $142.00 - Per Individual Permit as marked above, (inspection fee i ❑ $159.00 —Inspection during contiguous normal business hours (1 I Ins ection durin non-contiguous normal business hour; FIRE ADIVINISTJ ❑ S pedal C onditions of err Invoice No: FS 5400 R ates changed per newMasterF ee S chedule adopted by R esolub Abte: Effecdve Fire Permits are not transferable. If business sold, or ij NEWPOarBEACN N E W NI<nullW IrMM repress ' re. ___------- hw u City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: Pelican Hill — AC Delco Dinner 4/21 /16 22701 S. Pelican Hill Rd. 48 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time Mar Vista Lower Patio 9l 48 Seats conigea Room 6iogmm 1. Cheese and Antipasto Table I 2. Risotto Station 3. Soup & Salad Table 4. Entrees 5. Pizza Station 6. Gelato and Coffee Station Bridal Suite elevator 04% c�age as g sa a see e tk%7ria moo e Bar V JPVH isle ACDelco 2016 WD Incentive Italian Festa Thursday, April 21st, 2016 6:30pm - 9:00pm G 2. ❑ 3. I MIR so service ease f � �acdelcofesta Beef Iron Gates � s *� 1 Esi Vegetable Market Street Cart --77 W . % APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 92BED (949) 644-3106Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTME NT �R%%4uFativr e. ay DATE; 7.. , •. 1 • . , •■ • • Busines! Name: Signature Party Rentals!17me: 714-545-6777 Email: pchamberlin@signatureparty.com Contact Name: Heather e: •• • Event Name: Pelican Hill UBS Gala - R# 62889 Event Address: Pelican Hill Event Lawn, S Pelican Hill Rd., Newport Coast 92657 Event Date: 4-19-2016 Event Time: 6pm No of Attendees : 200 SPECIAL PERMT INFORIVATION siteplanis required foralipertnits,exceptpernits..11 r1each individuall'unitas'I I • ❑ Tents and Kmbrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure Is. Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 10 0 Liquefied Petroleum Gas (LP -gas) Size of tanks) gal Quantity of tanks 3 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candies ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) © $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMNISTRATION ONLY WS pedal conditions ofPem'tA ppfy, **(SeeA Miched) yl O � Invoice No: FS 5400 Customer No: O%Ap Rams changed per newMasterF ee Schedule adopted by R esolUUon Na 2075-76 on S eptsmADer ZZ, Z07 5. Note, Effective Fire Permits are not transferable. Ifbusiness sold, orifquangdes orprocesses change, a new Permitis required. F: k ifeSafetyServicesT omM ppliradon for Terrp Pemit-S pedal f vent(09-22.15) City of Newport Beach Fire Department Special Event Permit Conditions Event: 4/19/16 @ 6pm Resort at Pelican Hill S. Pelican Hill Road Newport Coast Event Lawn- LPG 200 Guests Propane Appliances: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Heating equipment shall not be located within 10 feet of building exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Event Lawn ]k ubs.gala dinner4.19.16 C�IMW RO.M OicsM. Entertainer Satellite Kitchen 200 seats cl� QPLIQV UBS Chairman's Council Gala Dinner Tuesday, April 19th, 2016 7:00pm - 9:30pm I APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644.3106 Fax (949) 644.3120 NCWPOR11* �l.1�1E VEPD1R MENif t` 'itF� 19�:11111t-�M'I1P.lt+yQMt� 51 usiness Name: dhtutApplicant Name: I hone: `�j4 - ! • Address: Email.• c,�'ll C j Email: Contact Name: avt Contact Name: Event Name: w mn s, hoe Event Address: T)ffi8hf!(A Vii 2L Event Date:a17 I Event Time: Nov Attendees: Q' INFORMATIONSPECIAL EVENT PERMIT (A site plan is required for all permits, except candle permits. Fee applies to each individual Permit as marked belo.w) Structures Size of tents) �f Tents and Membrane In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: Do. -Square Footage of canopy,, tent .or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum2-A' 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► .Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks El Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity ofvehiicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candies ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) 6.00 - Candies (includes first time and special event) rz$1159.00 42.00 - Per individual Permit as marked above, (inspection fee included if during weekday normal business hours). — Inspection during contiguous normal business hours (1- hour minimum): Inspection during non-contiguous normal business hours, weekend orholida , Zhour minimum). • iR •' i i ❑ Special Conditions of Pennit Apply, **(See Attached) 5�� Invoice No: I°$5400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution No. 2015.76 on Septema-er 22, ZU73. Note: Effective Fire Permits are not transferable. if business sold, or if quantities or processes change, a new-Permit.is required. F.lLifeSafetyServicesiFa ms/applicapgp for Temp Permit -Special Eveht(09.22-15) 2 City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 4/23/16 Hoag Women's Conference 307 Placentia 70 Guests TENT: • Inspection required on all tent permits. Inspection fees apply, call when ready for inspection. • Post occupant load • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured. Open flame or other devices emitting flame, such as candles, are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Prepared By: Randy Prepared On: 04/19116 08:39:31 1 Occupancy: Remarks: Hoag Hospital 307 Placentia Ave Newport Beach Event: Women's Conference Guests: 70 Install: 4123 Sam Event: 4123 Sam Inspection: 4123 730am Strike: 4123 Spm FE0, 261x461 Canopy -no walls- ce WON FE--Fire Extinguisher & no smoking -sign 0 = 3001b cement base T-M M �. ,5, ,. ��' � � t • it � ..�;• -- � � �� .. . 4. J� ,41 i a R � 5rr ra can# Ave� . � �► �, � k 30 Pia IN 21 .r �p h yM )&ryi , te: /20id6.. 330.37'34,46" fi 111°; 6n ." 03112f2013 11;14 15629089466 CONVENTIONAL TENTS PAGE 01 WOW V f f� 1� J(/?:;g �r„7�R 0trey Q •or ISSUED BY ,,f Ek REGISTERED manufactured APPLICATION Conventional Tents Sc Awnings » CONK TI No. 6416 Western Ave. r Whtttler, GA. 90606 March 2tt13 q REiP�4 F3b$,02 This is to certify that the materials described below have been f10M0-Tetardant treated (or are inherently ( onfltll7iable). 2211 S Susan St. For Signature Party Rentals LlddreSS City Santa A a State CA 9R7a4 l'" I (A) certification is hereby made that; (Check "W or "b obey and resist The 011101e8 described below on this certificate have been f_citod with Gl flame•retprdanf 4hemicai appl by the State Fire Marshal and that the appltcatlon of said chemical was done In Conformance with1he-law$ of the Stdtir cif California and the rules and regulations of the State Fire Marshal. Nome of chemical used OheM,Reg.No_ „,_,� _,_ Method of application The articles described below are made from a fianie•resistance fabric or material regWmd Mild apo%yad,by file State Marshal for such use. Trade name of of flame -resistance fabric or material use PVC Vinyl �{eg. Na.�F=Spb•p The Flame Retardant FrOCOSS Used �Be Removed BV Washl g Wi& or WI9 Nat Jesse Ramp Namaof Appllmlof m Finaua9an &**dK%ndom CONTROL No. CUSTOMER ORDER No. CUSTOMER INVOICE No. YARDS OR QUANTfTY 1k7n_yaj4s COLOR white, STYLE DATE PROCESSEt► arch 2013 1 20 x 40 Canopy Top By s else omo res en title Q ��.•w���ua N APPLICATION FOR TE NPORARY PE RMT TO OPERATE FIRE DEPARTIVENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 925M (949) 644-3106Fax (946) 644-3120 NEWPORT BEACH FIRE DEPARTMENT tFS E�RVVIICE DIVI ON ; i e epa ment t 7Busines!me: Signature Party Rentals Applicant Name: 545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: •• kyj 1.11 Lo Event Name: Big Canyon Launch - lunch event on lower terrace - R# 63791 Event Address: Big Canyon Country Club, 1 Big Canyon Drive, Newport Beach, CA 92660 Event Date: Sunday 4/24/2016 Event Tiime:1 pm No of Attendees :100 fluctuates SPECIALPERPERMT INFORIVATION (A siteplanis required for all pernits, except candle pen7ifs. Feeapplies to each individual P&nitas n7arkedbeloW ❑ Tents and Nbmbrane Structures Size of tent(s) In excess of 400 sq It with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. O Liquefied Petroleum Gas (LP -gas) Size of tank(s) 10 gal Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks 0 Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) © $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY 0 Spedd Conditions ofPerTdtA pply, -(SeeA itadwd) Invoice No: FS540D Customer No: Rates dlanged per newMaster F ee S dledtde adopted by R esoMon Na 2015-76 on S eptember22, 2015. Alote: Effective Fire Permits are not transferable, lfbusiness sold, orifquantities orprocesses change, anew Permitis required. P K ireSa1WervrcesTwwAl pprrca8on rorTwv Permit- speciaa vent(09 22-05) City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: 4/24/16 Big Canyon Country Club 1 Big Canyon Drive 100 Guests Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 926M (940 644-3106Fax (949) 644-312D 7Busines!me: Signature Party Renta!Iddress: pplicant Name: 545-6777 Email: pchamberlin@signatureparty.com mail:Contact Name: Heather ontact Name: Event Name: Island Hotel evening reception R#64059 Event Address: Island Hotel Pool Deck, 690 Newport Center Drive, Newport Beach 92660 Event Date: 4/30/2016 Event Time: 7pm 7 F.Lb of Attendees: 80 fluctuates SPECIAL•• • siteplanis required forallpennits,exceptcandle1 i.. Feeapplies toeach individualPernitas rnarkedbefovO ❑ Tents and Kmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. Iiii Liquefied Petroleum Gas (LP -gas) Size of tanks) 10 gal Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks 0 Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. 0 Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES 0 $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). M $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Inspection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY M Special Conditions W armitA pply, -(SeeA ttached) `V Invoice No: FS.540D Customer No: V Rates changed per newMaster-Fee Schedule adopted by R esolution N a 2015-76 on S eptefft w 22, 2015. Note: Effective Fire Permits are not transferable. lfbusiness sold, orifquantities orprocesses change, a new Pennitis required. F: t iresaretyServicesT omv A pplication forTenp Pemit- S pecial E vent(09=22-75) I q,-L 0 N L Y Cc w MVO J349T4 UNEr br-ply-lU M nf, MrV evsE-Lx sfi-E4mcra mmvir-A, VEMboul OEVICIIH hiucz V 1 ►' City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: Evening Reception Island Hotel 4/30/16 690 Newport Center Dr. Pool Deck 80 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time APPLICATION F•' Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 9268D (9411644-3106Fax (946) 644-31Z) NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY S RVICES DIVISION 'y'}1 �41���1� i Trsqe ment B, e�- ntative. 7Businesis, Name: Signature Party Rentals Applicant Name: 14-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Nancy 714-412-5123 Contact Name: i' 1 i Event Name: Twila True by Mardo Grand Opening - R#63939 Event Address:980 W Coast Highway, Newport Beach CA 92663 Event Date: 4/30-5/1 Event Time: 4pm Sunday 5/1 iNo of Attendees: 800 fluctuates SPECIALi' i (A site plan is required forall peadts, except candle pen4ls. Fee applies lo each individual Pernit as marked below idTents and 11r1'mbrane Structures Size of tent(s) 40X40 In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10-. B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupantload for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) 5 gal Quantity of tanks 4 ► Site plan required showing location of cooking or heating equipment and structures Is,. Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. t nArr es & en in em Area tit sand 2 r fla �'� y�1a✓ ants to be secur together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) - Candles (includes first time and special even 0 $142.00 - Per Individual Permit as marked above, (insp ti a included if during weekday normal business hours). � 0 $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection during,non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY 6 Special Conditions off wdtA pply, -(SeeA ttached) Invoice No: FS5400 Customer No: Rates changed per newMasterF ee S chedule adopted by R esolution No. Z07 5-76 on 5 epMrnDerZZ, Z07 5 Note: Effective Fire Permits are not transferable. Ifbusiness sold, orifquanddes orprocesses change, a newPermitis required. F: Z ifeSafe4fServiceslFomE A pplication forTenp Peadt- Special E vent(0942-15) in City of Newport Beach Fire Department Special Event Permit Conditions Event: 5/1 /16 Twila True by Mardo Jewelry Grand Opening 980 W. Coast Hwy. 800 fluctuating Guests TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • The width of aisles in occupancies without fixed seats shall be provided as follows: ■ The minimum clear aisle width shall be 36 inches where seats, tables, counters, furnishings, displays, and similar fixtures or equipment are placed on one side of the aisle only. ■ The minimum clear aisle width shall be 44 inches when such fixtures or equipment are placed on both sides of the aisle. COOKING: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • No cooking in tents or canopies • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. • Cooking area shall be cordoned off to keep general public away from cooking equipment If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Room name: TWILA TRUE BY MARDO 5-1-2016 Prepared By: Randy Prepared On: 04/28/16 09:35:48 wxtl•GVIOPY PLFATEO FA m- -YgLE FAEHIC®WALLS 1•IAPGE CHI1fl0ELEx 3•NEdUY CHINOELIEI6 CAR DEALERSHIP GENERATORS STAGED BEHIND THE CANOPY -M x F r p qAe� ED rr N G PD F' uW. W I CRflOEi �X�Ofi w �LOU L`U,IGE J c Mo &NSS aKIT1o, Ceiling Height: 30.0 ft Occupancy: Remarks: MARDO STORE FRONT DOOR OxOPUL6 BEACH BUNNY STORE lX91 Ff ovEfl(:�1FI.19 xrtcflEx m0LP..rAeLFs TUflF azaFr axes Fr e«St/JILIIpH9AflEPE9>a> e<eSfN1CNxKr9iflOPE9»> STEP & "T REPE 1 rw.nsw iExAmoel LET //7r mow, " T EMIR F y w f •2,.-- .. a lya Ginu Mazone Golor;,� E_7f1` '", ♦> Extension $peciolist � Is rim — A - � � .•..� ..ems. „ . °--�.��.. •.�.�'aiJ �n2isropreT aaion + w; S Ferrari of Naseraewport Be :J rt ewpoBeach r � s♦ �[I t DO r M `J ... Pacific Coast Hwy .. �A �,` f APPLICATION FOR TE NPORARY PE RMT TO OPERATE FIRE DE PARTIVE NT Newport Beach Fire Department Life Safety Services 10DCivic Center Drive, Newport Beach, CA 9M . (946) 644-310617ax (949) 644-3120 ZZ 7Busines!me: Signature Party Rentals Applicant Name: 545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: MORN M AIII Lei Event Name: Pelican Hill Constellatio group @ Event Lawn - R#63852 Event Address: Resort at Pelican Hill (Event Lawn), 22701 S Pelican Hill Rd, Newport Coast 92657 Event Date: 5/2/2016 Event Time: 5pm I No of Attendees :117 SPECIALa' a (A site plan is required for all pernits, except candle panits. Fee applies to each individual Pernit as marked belovO ❑ Tents and Nhmbrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► °No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables -and chairs. An approved occupant load will be listed as a requirement of permit when issued. v _ ® Liquefied Petroleum Gas (LP -gas) Size of tank(s)1 Ogal / 5gal Quantity of tanks M1 Ogal & -(�2)5gal ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles No. Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) IN $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection Burin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY ❑ Special Conditions ofPerlritA pply, -(SeeA Mrhed) p� � Invoice No: FS540D Customer No: Rates changed per newMaster F ee S chedule adopted by R esolution Na 207 5-76 on 5 eptetrr"Zz, zul 5. Afote: Effective Fire Permits are nottransferable. Ifbusiness sold, orifquantities orprocesses change, a newFennitis required. r: Z MSA46ervicesftmsiA pplicadon forTwpPea4t- Special E vent(09-22-15) 83MAle yr"3 will WWAO �� o M City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: Pelican Hill — Constellatio Group 5/2/16 22701 S. Pelican Hill Rd. 117 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. Event Lawn L'--WW4.-kI Legend: Dining Table High communal table Cocktail table 0 0 0 ] O O 1 ] B 1 J o 0 0 0 n o 0 o n o Stage 16ftxlOft ® Barrel Standup O Standup Table o CIE Bar �E Food station Non M!M ■ Firepit-Hotel Provided -= ® 20ft Wine Blending Station E � O O Painting Demo Seating for 117 Wine Glass Engraver , t Ell. APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 925M (946) 644-310BFax (94$ 644.3120 NEWPORMEWHII' -. - • /777 7Busines!e: Signature Party Rentals Applicant Name: 545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Perrin Contact Name: Event Name: Pimco - Morgan Stanley luncheon on front patio - C#166580 Event Address:650 Newport Center Drive, Newport Beach CA 92660 Event Date: 5/5/2016 Event Time:11 am-2pm TNb of Attendees: 80 SPECIAL EVENT PERIVIT INFORIVATION (A siteplanis required for all pert4ts, exceptcandle pffnft5, Feeappliesto each . . P.rnarkedbelovO ❑ Tents and Nbmbrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure No, Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ® Liquefied Petroleum Gas (LP -gas) Size of tank(s)5 gal Quantity of tanks 8 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. 0 Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $159.00 — Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum), FIRE ADIVINISTRATION ONLY 0 S pedal Conditions ofPerrrrtA pply, I(SeeA tta W) o� Invoice No: FS5400 Customer No: R ates changed per newMasterF ee S chedule adopted by R esolution Na Z015-76 on 5 epMniDerzz, Z07 6. Mote: Effective Fire Pennits are not transferable. Ifbusiness sold, orifquantities orprocesses change, a new Pennitis required. F: IC ifeSafetyServicaslFwwAl pplicaffon forTeVPermit- S pedal E vent (09 22-15) City of Newport Beach Fire Department Propane Heater/Cooking Conditions Event: 05/05/16 Pimco - Morgan Stanley Luncheon 650 NCD 80 Guests LPG: • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured from tipping. If LPG used, permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent canopy, or temporary membrane structure. • Provide at least one 2A:1013C fire extinguisher at all cooking locations. • Outdoor cooking that produces sparks or grease -laden vapors shall be a minimum of 20 feet from tents. • An inspection by NBFD personnel must be performed and the cooking area approved before use. • No deviation from the approved plan or permit unless approved by NBFD personnel. • Temporary furniture, tables, chairs, heaters, fire pits shall not block the accessible and egress route. Maintain a minimum of 48" clear GENERAL SAFETY: • Do not obstruct exits from the building. • Do not exceed maximum occupancy. • Do not obstruct Fire Department access. • Do not obstruct any firefighting equipment. A Camps an iialleir..,IS 0rr91�ri�tarix1r_ rx j� �Pacific,lnvestm+e P�an�gemi�nt . Carnpany LLC MOUEL i ofcwl itlile '6 �� 1 f .Ml FEAC i t APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT LIFE SAF SE I ' H VED Sig y ► e o BYy DATE��� IRMO 7Busines!me: Signature Party Rentals Applicant Name: 954-2636 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: Boys Hope/Girls Hope & Pujlos Event Address: Pelican Hill, 22701 Pelican Hill Road South, Newport Beach. CA 92660 Event Date: 5/6 & 5/9 =Eventime: am reg; pm dinner No of Attendees: 210 guests INFORMATIONSPECIAL EVENT PERMIT (A site plan is required for all permits, except candle. to each 0 Tents and Membrane Structures Size of tent(s)4.0'X 80' In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event: Use 15 square feet.per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) NA Quantity of tanks N/A ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a Annual Permit Expiration Date ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection during non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION IN Special Conditions of Permit Apply, **(See Attached) Invoice No: Customer No: VG�W New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.ILifeSafetyServiceslForms/Application for Temp Permit - Special Event (11.0Z 13) City of Newport Beach Fire Department Special Event Permit Conditions Event: May 6 and 9, 2016 Boys Hope/Girls Hope & Pujlos Event Pelican Hill Golf Pavilion 22701 Pelican Hill Road South 210 Guests TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside tent. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. •_ Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • The width of aisles in occupancies without fixed seats shall be provided as follows: ■ The minimum clear aisle width shall be 36 inches where seats, tables, counters, furnishings, displays, and similar fixtures or equipment are placed on one side of the aisle only. ■ The minimum clear aisle width shall be 44 inches when such fixtures or equipment are placed on both sides of the aisle. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Boys Hope Girls Hope - 5/6/16 Pujols Celebrity Golf Classic - 5/9/16 M Golf Pavilion at Pelican Hill TENT WALL CLOSED OFF y,Starbucks 'B ``A'U6K' O �ealdast" O O O 0 (5) 6' Tables for Registration w/ (3) Back Tables (2) Chairs at Each Table (2) Small Trash Cans (6) Easels (12) 6' Tablet for Sileat Auction * Pmnde EXTRA Linea * (6) High Cocktail Rounds (6) Rounds of 10 w/ Succulents *Banquets to determine placement* 13 Boys Hope Girls Hope - 5/6/16 Pujols Celebrity Golf Classic - 5/9/16 a Golf Pavilion at Pelican Hill Power Outlets Aloni! Back 80'LCD EE 80"LCD 60"'E%ICS' 0'60"LCD S'x 12'Ris. 0000000 0000000 0000000 Barw/ cadgerpQ 0 I-OTables For Silent A=on Provide EXTRA Linen * (2)Double Sided Buffds O W Cashi 0 0 V/ (21) Rounds of 10 Banquets to determine placement* r Certificate of Flame Resistance GSTgg Registered No ISSUED BY Manufactured Date Tacoma Tent & Awning 2.7.12 F122.29 Tacoma, Washington (253) 627-4128 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). For: Signature Party_ Addressl: 2211 South Susan Street -- kentaf Address2: City: Santa Ana State, Zip: CA 92704 Certification is hereby trade that: (Check "a" or "b") �- (a) The articles described below have been treated with a name -retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and regulations of the State Fire Marshal. Name of Chemical Method of Application Chem. Registered No. Fv'_ M The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric Herculite S-83 b/o Tent F122.29 To Registered No. The flame retardant p -rece v.sed w- alLl otbe remmed by WashiW, - -- - - Darrel Brown By Josh Shanahan Name of Production Superintendent Description: (2) 40x20 b/o Hip Ends s&b(A&E) (4) 40x10 blo mids s&b (A&E) Serial Numbers: ---------------------t'+ r Certificate of Flame Resistance aw. - Registered No ISSUED BY Manufactured Date Tacoma Tent & Awning 2.7.12 F122.29 Tacoma, Washington �F 13E rP¢�i (253) 627-4128 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). For: Signature Party_ Addressi: 2211 South Susan Street _ _- Rentat Adc3re- 2: City: Santa Ana State, Zip: CA 92704 Certification is hereby made that: (Check "a" or "b") (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Mules and Regulations of the State Fire Marshal. Name of Chemical Chem. Registered No. Method of Application (u} The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric Herculite S-83 b/o Tent F122.29 To Registered No. The flat -retardant p-racess vwjlt.not.sbe re ov -by w-ash_hzg, - - - - - Darrel Brown By Josh Shanahan Name of Production Superintendent Description: (2) 40x20 b/o Hip Ends s&b(A&E) (4) 40x10 b/o mids s&b (A&E) Serial Numbers: APPLICATION FOR TEMPORARY PE R MT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 925M (949) 644-3106Fax (946) 644-313) NEWAORr BFACH IgRE DEPAR MEN'Ir 7" r Zsetati DA 5 /r Business Name: Signature Party Rentals Applicant Name: Phone: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: Event Name: Pelican Hill Marsh McLennan reception C#167283 Event Address: Resort at Pelican Hill @ La Capella Patio, Newport Coast, CA 92657 Event Date: 5/12/2016 Event Time: 9pm I No of Attendees : 80 SPECIAL EVENT PERIVIT INFORIVATION (A siteplanis required fbrallpernit5, except candle pffnits. Feeapplies to each individualPaTritas markedbelovO ❑ Tents and 1%mbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tanks) 5 gal Quantity of tanks 2 ► Site plan required showing location of cooking or heating equipment and structures No. Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142,00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-contiguous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY 0 S pedal Conditions ofParn itA pply, **(SeeA ttached) Invoice No: FS5400 Customer No: IsInV& Rates changed per newMasterF ee S d iedule adopted by R esolutfon Na 207 5-76 on J epteau ra, 2016. Note: Effective Fire Permits are nottransferable. lfbusiness sold, orifquantities orprocesses change, a newPermitis required, f: k ifeSareiyServicesTonmA pplicadon for Tenp Pernit-SpecialEvent(09-22-15) City of Newport Beach Fire Department Propane Heater/Cooking Conditions Event: 05/12/16 Pelican Hill Marsh McLennan Reception Pelican Hill Resort 80 Guests LPG: • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured from tipping. If LPG used, permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopv, or temporary_ membrane structure. • Provide at least one 2A:10BC fire extinguisher at all cooking locations. • Outdoor cooking that produces sparks or grease -laden vapors shall be a minimum of 20 feet from tents. • No deviation from the approved plan or permit unless approved by NBFD personnel. • Temporary furniture, tables, chairs, heaters, fire pits shall not block the accessible and egress route. Maintain a minimum of 48" clear GENERAL SAFETY: • Do not obstruct exits from the building. • Do not exceed maximum occupancy. • Do not obstruct Fire Department access. • Do not obstruct any firefighting equipment. D 0 Al e 44 APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT UFE SAFETY SE ICES DIVISION e by -• Dep rt w�Ivwiw...www.+www DA • )rS Cp Business Name: SIGNATURE PARTY RENTALS Applicant Name: Phone: 714-954-2615 Address: Email: ecanales@signatureparty.com Email: Contact Name: EDDIE CANALES Contact Name: 4• Event Name: DESTINATION CONCEPTS-7182 Event Address:22701 S. PELICAN HILL RD Event Date: 5/18/16 Event Time: 6:00pm No of Attendees: 60 SPECIAL EVENT PERMIT INFORMATION (A site plan is required for all permits,marked below) ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tanks) 5-GALLON Quantity of tanks? ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 — Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION iM Special Conditions of Permit Apply, **(See Attached) ���� Invoice No: FS5400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2075. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.lLifeSafetyServiceslForms/Application for Temp Permit -Special Event (09-22-15) City of Newport Beach Fire Department Permit Conditions Event: 5-18-2016 Location: 22701 Pelican Hill Road (Via Capri Street) Pelican Hill Resort, Newport Coast Guests: 60 Cooking / Heating Area (LPG): 1. All cooking appliances shall be separated from public access. (i.e., a table or a fence to provide a physical separation barrier) 2. Each cooking area must have a minimum of one, 2A: 1013: C fire extinguisher with current service tags. 3. Only one propane bottle for each appliance. No backup propane bottles will be allowed — no storage of LPG tanks. 4. All propane bottles connected to cooking appliances shall be secured from falling to tipping. 5. Cooking areas should not be placed within 10 feet of building or a doorway /opening to a building. 6. Cooking areas should not be placed within 10 feet of combustible materials. 7. Storage/Cooking area must have substantial physical barrier from vehicles and parking lot area. Access: 1. Maintain a minimum 15' clearance around fire hydrants. 2. Fire Department emergency access is required on Via Capri. Full length of Via Capri shall be accessible at all times with a minimum of 20' wide and 13' 6" height vehicle path. 3. If physical barricade are used, they shall be manned, to allow for emergency vehicle access into Via Capri at all times. APPLICATION FOR TEMPORARY PE R MT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 10DCivic Center Drive, Newport Beach, CA 926M (949) 644-3106Fax (949) 644-312D LIFE BEACH FIRE DEPARTMENT 1'7- ■ ■ , • • � • i , ■ • , • • , • • • • 7B,usiness Name: Signature Party Rentals Applicant Name: one: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: 11111:4 zmarm Event Name: Benefits Partner Invitational dinner - C# 167962 Event Address: Resort at Pelican Hill, Via Capri Street, Newport Coast, CA 92657 Event Date: 5/18/2016 Event Time: 5pm 7N7o of Attendees : 56 SPECIAL EVENT PERIVIT •■ • (A siteplan is required forallpen4ts, except candle pen7its. Fee applies ,. each : d below ❑ Tents and IVbmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. Iiii Liquefied Petroleum Gas (LP -gas) Size of tank(s) 10 gal Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. 0 Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. © Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non -continuous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY ❑ S penal Conditions ofPerrWA pply, **(SeeA ttached) Invoice No: FS54CD Customer No: .91 b af R alas changed per newMasterF ee S chedule adopted by R esolution N a 2015-76 on S eptefter 22, 2015. Alote: Effecgve Fire Permits are nottransferable. ifbusiness sold, orifquantities orprocesses change, a newPermitis required. f: Z ilbS aretyServicesT onrslA pplip6on forTeryp Pernit- S peaaf E vent(09-22.15) .fe City of Newport Beach Fire Department Permit Conditions Event: 5-18-2016 Location: 22701 Pelican Hill Road (Via Capri Street) Pelican Hill Resort, Newport Coast Guests: 56 Cooking / Heating Area (LPG): 1. All cooking appliances shall be separated from public access. (i.e., a table or a fence to provide a physical separation barrier) 2. Each cooking area must have a minimum of one, 2A: 10B: C fire extinguisher with current service tags. 3. Only one propane bottle for each appliance. No backup propane bottles will be allowed — no storage of LPG tanks. 4. All propane bottles connected to cooking appliances shall be secured from falling to tipping. 5. Cooking areas should not be placed within 10 feet of building or a doorway /opening to a building. 6. Cooking areas should not be placed within 10 feet of combustible materials. 7. Storage/Cooking area must have substantial physical barrier from vehicles and parking lot area. Access: 1. Maintain a minimum 15' clearance around fire hydrants. 2. Fire Department emergency access is required on Via Capri. Full length of Via Capri shall be accessible at all times with a minimum of 20' wide and 13' 6" height vehicle path. 3. If physical barricade are used, they shall be manned, to allow for emergency vehicle access into Via Capri at all times. Benefits Partners Invitational Festa Dinner Buffet Via Capri Wednesday, May 18, 2016 Restroom Bungalow: ##TBD DCi to Provide: Gate Treatment - Bar & Buffet Treatment - (6) High Boys& Linen - (3) Rectangle Tarries - (2) Square Tables - Centerpieces Resort to Provide: - Wine Barrel Bar & Buffets - (56) White Napkins • (1) &X30" Table for Vendor LCheese &P fipasGStatbn 2 Soup & Salad Statist * Entree 4- Pisa statics 6. KSOOStOon 6_ Gelato & Cofee Z sat Via Capri SIN 3.. '^�b 6. 46# 1K Pl oven Wroght Iron Gate ' f f .f APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA SM (949) 644-3106Fax (94% 644-3120 NEWpORT BEACH FIRE DEPARTMENT uF FEi Y $E VICES D► E ON THIS ig e b Fire D ent r n Live. DATE; 7Buiness Name: Signature Party Rentals Applicant Name: ne:714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: •• • Event Name: Marsh McLennan reception - C# 167588 Event Address: Resort at Pelican Hill (Executive Terrace), 22701 S Pelican Hill Rd., Newport Coast CA 92657 Event Date: 5/14/2016 Event Time: 9pm 71No of Attendees : 80 SPECIALPERIVIT INFORIVATION (A site plan is required for all perniM except candle pendts. F ee applies to each individual P ffTdt as rnarked belovO O Tents and Nbmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tanks) 5 gal Quantity of tanks 2 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. 0 Candles & Open Flames in Assembly Areas Quantity of candles No. Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candies (includes first time and special event) O $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection Burin non-contiguous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY lt�Wpedal Conditions ofPermtA pply, '(SeeA Micilvd) Invoice No: FS5Q00 Customer No:5 Rates changed per newMasterF ee Schedule adopted by R esolution Na Z07 5-i6 on,5eptertner Zz, zu15. Note: Effective Fire i ennits are not transferable. If business sold, orifquantities or processes change, anew fermitis required. F. i ifaSa&Aervices1'orms/A pplication forTenpPerrrit-$pedaff vent(09-22-15) a City of Newport Beach Fire Department Special Event Permit Conditions Event: 5/14/2016 Resort at Pelican Hill 22701 Pelican Hill Road South Executive Terrace- LPG Fire Pit 80 Guests Propane Fire Pit: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Heating equipment shall not be located within 10 feet of building exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. m �r .�� �,•cys�` w fA 7 r ♦ _ W s s l7hetReao t At Pelican Hilly w +0A,; ins 1'�F .y tirz wxF43�r' Google I _;gip„ ._ ,�� �;,` �_;r� �, !�. N� APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 10o civic Center Drive, Newport Beach, CA 92660 (949) 644.3106 Fax (90) 644-3120 Applicant Name: Business Name: Phone: J lu ff4 r j 111 Address: . Email'/( 4'; CjiM _ Email: Contact Name: Cat Contact Name: ' Event Name: ijomunc, �i 1?Qi%Gt Event Address. j(ceni 1A Ta Event Date:, y� C Event Time: ' No of Attendees _ri VY-•ezvm Y''.. " — �. , ®4� t B-.�.�eEy=*'�y'�' G- r. V4 • � Size of tents Tents and Membrane Structures () Site required to include th,TioNowinll-. ► Sggare,Foofage of canopy, tent or In excess of 400 sq ft with sides or 700 sq itwithout sides plan edts (include sae, type, etc.) ► Location of Fire Extinguishers (minimum 2-A 10- membrane structure 0- Number of Tent Walls ► Location of B:C) with current service tag ► "No Smoking" signs d Diagram for interior including location of chairs, tables, merchandise ► Occupant load for Use feet per person for events without tables%apd chairs. event Use 15 square feet per person for events with tables and chairs. seven square An approved occupant toad will be listed as a requirement of permit when issued. Q Liquefied Petroleum Gas (LP -gas) Size of tanks) _ Quantity of tanks P Site plan r Au'ued showing location of cooking or heating equipment and structures shall be kept a minimum of 10 feet from IA -gas tanks P- Weeds, grass, brush, trash, and other rombustibie materials Q Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity ofvehicles ® Diagram required of interior Including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candles ® Arrangements to be secured together as one unit trim wicks to reduce flame height and ensure conditions are followed. fy) Q Other (speci77 >z Q $46.00 - Candies (includes first time and special event) Q $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normat business hbars). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Inspection Burin non-conii uous normal business hours, weekend or holiday, 2 hour minimum " /Special ❑ Conditions of Permit Apply, -(See Attached) No: invoice Na FS5400 Customer Rates changed per new Masterfee Schedule aoopterr oy Keswuavn rvu. 6V7u-r u vu Note: Effective Fire Permits are not transferable. If business sold, or if quantities strvkcsnnnslApPaw"g aforTemppem Permit speciaal9ve t fOg-b-f5) City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: Hoag Women's Conference 307 Placentia Ave. 70 Guests TENT: • Inspection required on all tent permits. Inspection fees apply, call when ready for inspection. • Post occupant load • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured. Open flame or other devices emitting flame, such as candles, are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Room name:. Prepared By: Randy Prepared On: 05/24/16 13:14:35 Ceiling Height: 10.0 ft Occupancy: Remarks: Hoag Hospital 307 Placentia Ave Newport Beach Event: Women's Conference Guests: 70 Install:5/25 7pm Event:5/26 11m qa'"` Inspection:4M6-Sa g Soi Strike:5/26 7pm 25'x45' Canopy -no walls- FE=Fire Extinguisher & no smoking sign 0 = 3001b cement base J 01/08/2015 16:53 15629089466 CONVENTIONAL TENTS PAGE 01101 tw A;0;(7Kr-;(11vf /4/1 e/V ISSUED BY manutaotured 4� Of ° OEOISTERED Conventional Tents & Awnings APPLICATION 6416 Western Ave. M ' GONGERN NO- �g, Whittler, CA. 90646 q��Rhes �� P F-306.02 4lF iplf P� P.�ss.oa w have been flame-retardant treated (or are Inherently nonflamable) This Is to certify that the materials described besa For Addres8`. ,. City _ State 0 (A) Ce►tificatlort is hereby made that, (Check "a" or "b° The c' ticles described below on this certiflocite hove been treated With a flame retardant chemloul ap)�robed and regista b the State Fite ffurshal and that the application of said Chemical was done In conformance With the law$ of the State Of CQllfarnla ttnd the rules and regulations of the State Fire Marshal. Ngrne of chemical used Method of application by the State Fire The articles described below are made from aflame -resistance fabric or materaa) re gstred and approved M ($) Marshal for such use. FVC Vinyl Reg No._ p.306.02 Trade name of flame -resistance fabric or material u 6- Not Be Removed By Washing The Flame RetaCcCJilt Process Used w ��—^--- NIA py ss President ) title Noma of Appllcaferot Prod-dMan 6vpo,inlontlonl CONTROL No,__� CUSTOMER ORDER NO. - CUSTOMER CUSTOMER INVOICE No, YARDS OR QUANTITY, COLOR_ -r DATE PROCESSED_,,,, ?s ./ I APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT UFE ' F 01 r��Y� 1Hts wive. BY;,,,, — s--n-1u 7Busines! Name: Signature Party Rentals Applicant Name: ne:714-954-2636 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: Childhelp- r#61390 Event Address: Pelican Hill, 22701 Pelican Hill Road South, Newport Beach. CA 92660 Event Date: 5/23/2016 Event Time: am reg & breakfast & dinner No of Attendees :21 0 guests SPECIALEVENT PERMIT INFORMATION (A site plan is required for all permits,rt candle permits. Fee applies to each individualPermit as marked below) O Tents and Membrane Structures Size of tent(s)4 O'X 80' In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) NA Quantity of tanks N/A ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candles n/a Annual Permit Expiration Date ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) W $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION ONLY 44 Special Conditions of Permit Apply, **(See Attached) Invoice No: Customer No: New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F. ILifeSafetyServicesiForms/Application for Temp Permit - Special Event (11.0Z 13) City of Newport Beach Fire Department Special Event Permit Conditions Event: 5/23/16 Childhelp Pelican Hill Golf Pavilion 22701 Pelican Hill Road South 210 Guests TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Client:, Location% Room: Prepared On 05/16/1616:00:05 Event Name: Date: Time: Prepared By: Heather n <— PRO SHOP 3 v 7 Install: Am Friday 5/20 Requested inspection 3pm Friday 5/20 40'x 80' Maxi Event Monday 5/23/06 all day Strike 5/24 AM < —au n e m a 0 m m 3 v O G v <-- no sidewall- all open —> FE= FIRE EXTINGUISHER & NON Golf Pavilion SMOKING SIGN EXIT= BATTERY BACKUP EXIT SIGN —> parking structure ,.,�;�,�9M ., Golf Pavilion at Pelican Hill Travis AA I 1 (5) 6' Tables AAA (12) Chairs (3) Wastebaskets (6) Easels Tent Setup by Signature Set-up: Fri. 5120116 Teardown: Tue. 5/23116 GRASSY KNOLL: SEE DIAGRAM (16) 6' Auction Tables in (4) Squares IF Rope & Stanchion (4) Umbrellas in Center of Ea Square (2) 6ft Live Auction (1) 6ft Super Silent Auction Breakfast Burritos, Coffee & Water Station COD OCOD O 0 C(> 0 O `(> O * O (8) Low Cocktail Rounds of (4) (5) Highboys Childhelp 5.23.16 AM Registration & Breakfast �S Golf Pavilion at Pelican Hill w Faal Cli= Flat S MT11 -n -n Flat SLTCL L 'KE & %pv-Akm% R)6 u-n & SpL:akLT.% gt, w4n SmAl R4xmd Ibr Projwur 0 Chm-ging 0 Sudion 0 0♦ (21) 72' rounds 10 per Table NuThbkT.s,&- S umtk -iMTE: Na'T 0 COD 0 C(> Childhelp 5.23.16 Reception & Dinner (2)DoubfI!SitWBuI)h - JU 41tttMkk (;,AAN4 3PN4.-LTndcT,TT,t%q.-.- Ikope (1).61 Table. r6r BItAiiigtan ,qtut!c *NOTE: Brmikdowh.i.tt 4-'�bpm C 'i).01rabib.' r y (2),O Tub] 6tCb*q&Opt ,0) Bur ScilM s � I' �I ;3 r b� ♦ Y, ^4,, ,• � r44 .M� fty '�`Y�'Q k..,& a•�'gi'�,�KKr SAr—tY.*�•�i ' _ �. •�; m'v'4yp•Ca t .: +fir. .,c+"6J: kq;��; }�%4;3. "�s. I 4111, .,. ..,�� � ail " {• M` ♦! K.`'+rhT�e 2 r Certificate of Flame Resistance T 4 Registered No. ISSUED BY Manufactured Date F122.29 Tacoma Teat & Awning 2.7.12 Tacoma, Washington (253) 627-4128 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). For: Signature Party_ _ Addressl: 2211 South Susan Street. -- - Rental Address2: City: Santa Ana State, Zip: CA 92704 Certification is hereby made that: (Check "a" or "b") (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Blame of Chemical Chem. Registered No. Method of Application W, (b) The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric Herculite S-83 b/o Tent F122.29 777] Top I Registered No. The dame_ref_rda_#2f �o_raceis u w11! notbe removed y w_qs_ . - - - Darrel Brown By Josh Shanahan Name of Production Superintendent Description: (2) 40x20 blo Hip Ends s&b(A&E) (4) 40x10 b/o mids s&b (A&E) Serial Lumbers: c' Certificate of Flame esistance GsrrQ ai - ISSUED BY Registered No ISSUED Date F122.29 Tacoma Tent & Awning 2.7.12 Tacoma, Washington $Esau (253) 627 41 2s This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). _ For: Signature Party_ _ Addres_sl: 2211. South Susan Street Rental Address2: City: Santa Ana State, Zip: CA 92704 Certification is hereby made that: (Check "a" or "b„) (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of Chemical Chem. Registered No. Method of Application FV M The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric Herculite S-83 b/o Tent F122.29 To Registered No. The flame retardai�.-r'oce u mjnotbe remo und by gesram_ - -- Darrel Brown By Josh Shanahan Name of Production Superintendent Description: (2) 40x20 b/o Hip Ends s&b(A&E) (4) 40x10 blo mils s&b (A&E) Serial Numbers: 03/12/2013 11:14 15629069466 CONVENTIONAL. TENTS• fAgEE 01 �ST$� 0tre e or Q y.1 eh RE6lSTERED ISSUED By manufactured APRLiCATION Conventional Tents & AwningS CONCERN No. 6416 Western Ave, Mdroh 2013 + T Whittler, CA. 90606 REV P rrsokaz This is to certify that the materials described below have been tlamretafdant treated (or are inherently panTlgmabie) 2211 S SUSan St, For Signature Party Rentals Address CHy State CA 9�704 Santa Ana _----W-.�--- (A) certification Is hereby made that; (Check "a„ or 1>1 obed and regisi L,� 1 The articles described below on this certificate have bwith the been treated with a flarrt©•retardant chb-1hetacal apjvts.of.#he Sfatb of S by the State Fire Marshal and that the application of said chemical was done In oanforntance Capfomla and the rules and regulations of the State Fire Marshal. ' Name of chemical used Chem,Reg.N* _., Method of appilogtion The articles described below are made from Cl flame•resistance fabric of material tegWd.pd:appfoved'by the State X, tgy Marshal for such use. L- J Trade name of flame -resistance fabric or material use PVC. Vinyl Reg., No•�F-3n6.02 The Flame Retardant Process Used --- s M-N-O 'Be Removed By Washifig = of WM Nat Jesse Roma Nmno v(f�PPlkahr a Pmdvofton:�lp�.AM�nEetN' CONTROL No. CUSTOMER oRDER No. CUSTOMER INVOICE No. YARDS OR AUANW _ —,_ 27o4ar49 COLOR mite_ STYLE DATE PROCEMD arch 2013 1 - 20 X 40 Canopy Top gY esse amo .res en Till f 0 '11T 1111 ON,. U.''liM JS -�-k "0 , WO'l MAW tw OMM, Ax A ML r, , W,,r 'Nst-Mbi AREOUMV I Q t oll r5 .01 A- - - --fv f e4 — MAW, AM . LOW " -gid -%A ioY allw APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 10DCivic Center Drive, Newport Beach, CA 926M (94) 644-3106Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT tta FAR agyjCP Gib kSf�1�1 ��€�M�' t�A�t�mvED pr entative. By DATE 2 7Busines! N y •' me: Signature Party Rentals Applicant Name: 545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: Event Name: Island Hotel luncheon - R#65167 Event Address: Island Hotel (@ Cabana Terrace), 690 Newport Center Drive, Newport Beach CA 92660 Event Date: 5/23/2016 Event Tiime:1lam No of Attendees : 50 fluctuates SPECIAL EVENT PERIVIT INFORIVATION (A siteplanis required fbrallperr4t5, except candle pernits. Feeapplies tq each indiiddua/Pernitas n7arkedbelovO ❑ Tents and Nbmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. O Liquefied Petroleum Gas (LP -gas) Size of tank(s) 10 gal Quantity of tanks 2 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) N $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY SpecialConditionsofPenrrtApply,-(S ee A Vached) Invoice No: FS54C D Customer No: Rates chanaed oer newMasterF ee Schedule adopted by R esoludon Na 2015-76 on S eptember 22, 2015. Abte: Effective Fire Permits are not transferable. Ifbusiness sold, orifquantities orprocesses change, anew Pennitis required. F. V iW afetyServicesW orms/A pplicadon forTenp Permit-Spedal E vent(09-22-15) City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: Lunch at Island Hotel 5/23/2016 690 Newport Center Dr. Cabana Terrace 50 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time -- �-•. IVY --».3, _ ; „� , "�. Orl tom" `_ � .r ,`"✓� it. r- x � 1 kz�w cf' t 1 hi7A4 � W:� tr' fT) Wand `Hotel Newport Beach $229 x� , a t APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT LPWAAj%-TjX §, F MI§IQN �pren ative. 8Y` — OA'T�_.,...��'__ l.b......,..�.�..... 7Busines!me: Signature Party Rentals Applicant Name: 954-2636 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: Mission Hospital, r#65901 Event Address: Pelican Hill, 22701 Pelican Hill Road South, Newport Beach. CA 92660 Event Date: 06/09/2016 Event Time: am reg & pm dinner I No of Attendees :210 guests INFORMATIONSPECIAL EVENT PERMIT (A site plan is required for all permits, except candle permits. Fee applies to each individual Permit as marked below) 0 Tents and Membrane Structures Size of tent(s)40'X 80' In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of'Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) NA Quantity of tanks N/A ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a Annual Permit Expiration Date ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed SPECIAL ❑ $46.00 - Candles (includes first time and special event) W $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection during non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION Special Conditions of Permit Apply, **(See Attached) Invoice No: Customer No: sotuw�vs New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.ILifeSafetyServicesl Forms/Application for Temp Permit - Special Event (11,07.13) -71 Li-out.ori ;�U% —?a 1&0 wil i r.-]A'T .-TAa City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 6/09/2016 Golf Pavilion Pelican Hill Golf Course 22701 Pelican Hill Road South 210 Max Guests TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. �:2A, ({9.) \D ' §r / ) `) /) . /\ , \\ - §® 77 R cj \ Q \ §o Cl )# O 2\i eE \ E. (® O O ( \ (� k� - \\ \� J («& 00 =a"D \(\kk ƒE / W � � � ,A W CD OOMW � � � imm 0 For 0 ct obb LO 0 0 ^0 0 O ti sjojjnE[popiSajqnoG yl W-1 momw pod* In -I AE'll W; fD ON-W OEM 0 wo-d ON-d 0 Certificate of Flame Resistance Registered No. ISSUED BY Manufactured Date F122.29 Tacoma Tent & Awning 2.7.12 Tacoma, Washington �F• •` asrt}gq� Ra { 253 } 627-4128 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). For: Signature P_a_rty_ _ _ Atddressl: 221S_ outh_ Susan Streefi_ -- - Rental Address2: City: Santa Ana State, Zip: CA 92704 Certification is hereby made that: (Check "a" or "b") (a) The articles described below have been treated with a fame -retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Naive of Chemical Method of Application Chem. Registered No. Iv-1 (b) The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. - Trade name of flame -resistant fabric Herculite S-83 b/o Tent F122.29 71 Top I Registered No. - - The fame retarnalantpr'oce-q-used- wii the re .by washing,_ Darrel Brown By Josh Shanahan Name of Production Superintendent Description: (2) 40x20 b/o Hip Ends s&b(A&E) (4) 40x10 b/o mids s&b (A&E) Serial Numbers: t ' uertificate of Flame Resistance �iST Registered Na. ISSUED BY Manufactured Da#e F12 2.23 Tacoma Tent & Awning 2.7.12 Tacoma, Washington F aesa (253) 627-4128 This is to certify that the materials described below have been flame retardant treated. (or are inherently nonflammable). For: Signature Party_ _ _ Addressi: 2211 South Susan Street_ -- -- Rental &ddress2: City: Santa Ana State, Zip: CA 92704 Certification is hereby made that: (Check "a" or "b") (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of Chemical Chem. Registered No. Method of Application WO (b) The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric Herculite S-83 b/o Tent F122.29 To Registered No. i-}�e �f�r�.e�-e�s���►���.ce�� �e�r� �vi�a�"b� x�,er��l�.�;� aigr�.�� ______--__-��- - Darrel Brown By Josh Shanahan Name of Production Superintendent Description: (2) 40x20 b/o Hip Ends s&b(A&E) (4) 40x10 b/o mids s&b (A&E) Serial Numbers: - ' i\\\\\\\i\\\'li\.i\\0\o,'�7E\�at�.1.�.a�.t'��t�.�anc�.�...�,•..�n.��>�.�.e..,.....-. e...«���,.«..��-�_'_ _-�--- .----..- :...z , - ,-, � �r-ts 4 A� _ - �x ; g".•w,� .".1 is x s•s i yy � r„''S�6.��'�.#.°��tery:",y�.5�.''}R� '" a .rC�s •n ro>&"�r" 1f.°:$ �� "i" �'"`w. a^sgy'�I d'•'h ak io-$-M�^. xv °Y Oet�t� `"MC �c-L'�«S �. a�s•..� I tom, n � xt Y" T{• i �4 rF a i* ��♦� Ir APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT LIFE SAFM Y SERVICES DIVISION THIS ta>O S.gne y Fire epprtment BY re re MOM 1 .. , • 1 7Busines! Name: Signature Party Rentals Applicant Name: ne:714-954-2636 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: Core Net- c# 169462 Event Address: Pelican Hill, 22701 Pelican Hill Road South, Newport Beach. CA 92660 Event Date: 61 //2016 Event Time:430pm I No of Attendees :160 guests SPECIAL PERMIT INFORMATION (A site plan is required for all permits, except candle permits. Fee applies to each individual Permit as marked below) 0 Tents and Membrane Structures Size of tent(s) n/a In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) ga Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas -tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a Annual Permit Expiration Date ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) W $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION ONLY 0 Special Conditions of Permit Apply, **(See Attached) Invoice No: Customer No: D� New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.ILifeSafetyServiceslForms/Application for Temp Permit - Special Event (11.07.13) 3R.-5 4r-?7,0e.J en.. ��e�it? D � vi2r -7 �,4,V l %vvt 5 , /G� 4a�OkffF'9Ag3a Bid"SP' H''Z)A3G QY11.A ift":)l4 .aa 'S 3 Aa City of Newport Beach Fire Department Special Event Propane Permit Conditions Event: 6-01-2016 Pelican Hill Resort Golf Pavilion LPG Fryer 160 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 20 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is scheduled for 3pm on Wednesday June 1, 2016. Please contact Raymi Wun at (949) 644-3110 if you have any questions. EA P-* PM* 0 OW4 Pm* 4-4 Rl IR APPLICATION FOR FIRE PERMIT FOR SPECIAL EVENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT h+u�M SAIc DtVI oN� Revy ire epar[men ��•r� �r_ �9�n � tive.DAM 7Busines!me: Signature Party Rentals Applicant Name: 65-2636/m#562-243-1261 Address: Email:hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: M• Event Name: Wedding 6.3.16 C#169954 Event Address: Island Hotel, 690 Newport Center Drive, Cabana Terrace Event Date: 6/3/2016 Event Time: 7pm I No of Attendees: approx 150 SPECIAL EVENT PERMIT INFORMATION (A site plan is required for all permits, except candle permits. Fee applies to each individual Permit as marked below) ❑ Tents and Membrane Structures Size of tents) n/a In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tanks} 5 g a I Quantity of tanks 5 ► Site plan required showing location of cooking or heating equipment and structures ® Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a Annual Permit Expiration Date- 0- Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Inspection Burin non -continuous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION Special Conditions of Permit Apply, **(See Attached) Invoice No: Customer No: New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72, Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F:ILifeSafetyServiceslForms/Application for Fire Permit for Special Event Template (11.04.13) V02- -,4','3 aBNVR-7�8 YY��IXS 31IJ Wa", W14.4 IINVI34 if"Ill Em"T 4 -a .rril City of Newport Beach Fire Department Propane Heater Conditions Event: Wedding Island Hotel, 690 Newport Center Drive Friday, June 3, 2016, 7:00 PM — 150 Attendees LPG: • Heating equipment shall not be located within 10 feet of exits or combustible materials and shall remain outside. o Hanging lanterns strung along the patio are not to be located within 10 feet of portable propane heaters if they are made of combustible materials. ■ Overhead heaters attached to patio are not being used. • No deviation from the approved plan or permit unless approved by NBFD personnel. GENERAL SAFETY: • Do not obstruct exits from the building. • Do not exceed maximum occupancy. • Do not obstruct Fire Department access. • Do not obstruct any firefighting equipment. Ln ie s ♦ �, a� — Y' ro aY� i( �..€ 'S f + � �-yak -'s w \. •v,.� � ,�Y�' t #_�'� � } . My �= 5. ..1 �''�.'� F •v ..� � .f 1w Yks k z ,,rr , . �i�� • max.+'". �' . _ - ,,,�., roy�Y � ����,t "s'N tr �."y�r. t} t41 ;ii fir:. f.rt.�v}�� w +•� ,� F ,y a"'��a �F .Ii . * i lei '•� svy�4'w"". "'f - Wt '� (eir fib.' � .4� },/'��,,��W«�w I' "^�v �«�� �. ♦ , y��,ly� � yr �k.>w tx�'u� ... ,.� a � .�h+N' . y*�y ly,,R � #a-•xi+w. •. 'y' , .41 1� - 4 i� L w ilr III x w ' • _ 4 �"'Ir s"�y`7Js �'�y r .1N -� .. mow" b .y�� � i , - Y , .y> . ,. 1 1A 4 -*dk iA APPLICATION FOR FIRE PERMIT FOR SPECIAL EVENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644.3106 Fax (949) 644.3120 NEWPORT BEACH FIRE DEPARTMENT 1JFEp0va§9Wl5W9—P0J*d THIS IR�E;� (yl '1 W" esentative. BY b Business Name: Signature P y Rentals rApplicant Name: Phone: 714-545-6777 - j� q is~ l00$Email: skobzeff@signatureparty.com 7 Contact Name: Stacy Kobzeff Contact Name: M jkk •- • Event Name: Graduation Event Address: 20402 Newport Coast Dr, Newport Coast CA 92656 Event Date: 06/03/16 Event Time:11 am I No of Attendees : 330 SPECIAL EVENT PERMIT INFORMATION (A site plan is required for all permits, except candle permits. Fee applies W Tents and Membrane Structures Size of tent(s) 30' x 110' / 10'x20' In excess of 400 sq ft with sides or 700 sq It without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tanks) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, _grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet _from _LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles Annual Permit Expiration Date ► Arrangements to be secured together as one unit, trim wicks to reduce flame height_and ensure Conditions ollowe SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) Of $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION ONLY 11 Special Conditions of Permit Apply, **(See Attached) Invoice No: Customer No: New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.V ifeSafetyServiceslForms/Application for Fire Permit for Special Event Template (11.04.13) RX, City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 6/03/2016 Graduation- Sage Hill high School 20402 Newport Coast Dr. 330 Guests • Inspection required on all tent permits. Inspection fees apply, call when ready for inspection. • Post occupant load • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured. Open flame or other devices emitting flame, such as candies, are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Client: SAGE HILL SCHOOL Location: SAGE HILL SCHOOL Room: Prepared On: 05/24/16 15:10:03 Event Name: GRADUATION Date: 6.5.15 Time: Prepared By: Signature I FE I TENT SIZE: 1 1 1 1 ■■■■■■■ ...... ■■■■■■■ • ..■.■. ..■ ....... ....... ....... ....... NO SMOKING EXIT= BATTERY BA ....... ....... CKUP EXIT SIGN EXIT 25' TO BLDG ---- > BLDG seating for 330 Diagram created using Room Viewer@. 0 A '01/08/2015 16:53 15629089466 CONVENTIONAL TENTS PAGE 01/01 N i u 01 raa a or Of R �O ►2EGISTERED ISSUED BY mr�nufaoturad APPLICATION Conventional Tents & Awnings N CONCERN No- 6416 western Ave. Whittier, CA. 90606 P.�ns.oa w have been flame-retardant treated (or are Inherently nonflamable) This is to certify that the materials described bolo Far Addres8_ ��� State Cliy - (A) Certification is hereby made that; (Cheek °Orr or "b" The arFleles described below on this iOate of sad have been trohem>caleated was dolne th nfCon} rmance. with the laws ofthe S ate of CQllifOMIQ the State Fit* Marshal and that the application and the rules and regulations of the State Fire Marshal, Chem.Reg.Na� NgmG Qf chemical used Method of applicatlon_ red and approved by the State Fire The articles desorlhad below are made from a flame-resistanoe fataric or material ragi9t M X fB� Marshal for such usA. FVC vinyl Reg Nc _ F-306.02 ;rj Trade name of FlaMe-resistance fabric at mat eda{ u e. NotBe Ref1l:�wed �y Washing Flame Retardant Process Used - ill Wam^ will NIA ffam6 of Applicaler or Pro*ftdn AVPotlNWndOnt CONTROL. No. CUSTOMER ORDER No._, CUSTOMER INVOICE No, YARDS OR QUANTITY_ COLOR,,,_r,^ __ DATE PROCESSED- _ title m APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 10DCivic Center Drive, Newport Beach, CA 925M (946) 644-3106Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTN' THIS eliWii§({jam tC P G1!1 iI08b�and 11,G enl{'L. r ese tative. BY. _ DATE: ( _ r•• y •• y • o y•• y •• y • • i kil Business Name: Signature Party Rentals Applicant Name: Phone: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather 562-246-1261 Contact Name: Event Name: Men's Balboa dining - C#170762 Event Address: Big Canyon Country Club @ outdoor terrace, 1 Big Canyon Dr., Newport Beach CA 92660 Event Date: 6/15/2016 EventTime: 4pm No of Attendees :100 SPECIAL EVENT PERIVIT INFORIVATION siteplanis required forallperr4ts,•pcandle pertfits. Feeapplies to each inditfidualP&Tdtas rnarkedbelovO ❑ Tents and Mmbrane Structures Size of tent(s) In excess of 400 sq It with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls No. Location of Exits (include size, type, etc.) No. Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag No. "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise No. Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tanks) 10 gal Quantity of tanks 2 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46,00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection during non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY 0 Special C onditions ofP mutA pply, -(S ee A ttached) � Invoice No: FS540D Customer No: R ates changed per newMasterf ee S chedule adopted by R esoludon Na 2015-76 on S eptember22, 2015. Note: Effective Fire Permits are not transferable, lfbusiness sold, ordquantities orprocesses change, a newP�rmitis required. .'. r F: t iW a1W ervicesW onm A pplip6on forTerrQ Pemit- S pedal E vent(09-22-15) �NApot�tbP 601-j We�� �%&(n--ee tuo'lZi/L t4vv+a� - 0 Nue . City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: 6/15/16 Men's Balboa Dining Big Canyon Country Club 1 Big Canyon Drive 100 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, the inspection is scheduled for Wednesday June 15th between 1:00 — 4:OOpm. k I -r� . i � °��#'' � )e� .�u TGlt. ,: �L�i� � � � r i �" ''� <M,'r� .. ..1 �'�^ 3' 1 �. l 3- .- 'T � _ ._. t .-. S ,y ��#z m� APPLICATION FOR TE NPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 926M (949) 644-3106Fax (949) 644-3120 NEWPORT BEACH FIRE DEPAIAiMENT UFE SAFETY SE DMSIOM 'rws 611"APFRO"d s' n d b ire Department Y. . d r n 0 7Phone:714.545-6777 me: Signature Party Rentals Applicant Name: Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Nancy Lorraine 714-412-5123 Contact Name: •• ' • Event Name: WCEP Private Event - C#170455 Event Address: Newport Beach Vineyards & Winery, 2128 Mesa Drive, Newport Beach CA 92660 Event Date: Saturday 6/11 /2016 Event Time: 6pm No of Attendees :100 SPECIAL EVENT PERIVIT INFORIVATION (A sReplanis required forallpernits, except candle perrrits. Feeapplies to each individual Perrnitas n7arkedbefoq 0 Tents and Nbmbrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tanks) 10 gal Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. 0 Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candies (includes first time and special event) 51 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holida , 2 hour -minimum FIRE ADIVINISTRATION ONLY Special Conditions ofP&TWA pply, **(SeeA ttached) invoice No: FS 540D Customer No: R ales changed per newMasterF ee S d iedule adopted by R eso)utfon Na 2015-76 on 5 epremper«, zul o. Mie: Effective Fire Permits are not transferable. lfbusiness sold, orifquangfies orprocesses change, a newPermitis required. F:tifdafetySerncesfortmApplicationrorTenppemit-SpecialEvent(09-22-15) City of Newport Beach Fire Department Propane Heater/Cooking Conditions Event: 6/11/16 at 6:00 pm Newport Beach Vineyard & Winery 2128 Mesa Drive 100 Guests LPG: • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured from tipping. Permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent canopy, or temporary membrane structure. • Provide at least one 2A:10BC fire extinguisher at all cooking locations. • Outdoor cooking that produces sparks or grease -laden vapors shall be a minimum of 20 feet from tents. • An inspection by NBFD personnel must be performed and the cooking area approved before use. • No deviation from the approved plan or permit unless approved by NBFD personnel. GENERAL SAFETY: • Do not obstruct exits from the building. • Do not exceed occupant load inside the building or room at any time. • Do not obstruct Fire Department access. • Do not obstruct any firefighting equipment. Room name: nbw Prepared By: Randy Prepared On: 06/08/16 11:41:27 Ceiling Height: 10.0 ft Occupancy: Remarks: 13 "T DELIVER CHIVARIS, LINENS & NAPKINS, GLASSWARE INSIDE THE CAVE WEST COAST EVENT PRODUCTION SATURDAY, JUNE 11TH, 2016 DELIVER DISHES @ THE KITCHEN PREP AREA STOVE 2 HEDGES tt� C k a� m tom. APPLICATION FOR TEMPORARY PERMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 926M (94$ 644-3106Fax (94g) 644.3120 lBusines! Name: Signature Party Rentals Applicant Name: one: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Perrin Contact Name: ilm MMXM Event Name: PIMCO 2 Lunches - c#171015 Event Address: PIMCO, 650 Newport Center Drive, Newport Beach CA 92660 Event Date: 6/15 - 6/16 Event Time:12pm both days No of Attendees : 50 SPECIAL•• • siteplan -. -. for all pernits, exceptcandle permits. Fee applies to each indhdduale. • s • ❑ Tents and Mmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: No. Square Footage of canopy, tent or membrane structure ► Number of Tent Walls No. Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. © Liquefied Petroleum Gas (LP -gas) Size of tank(s) 5 gal Quantity of tanks 4 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). L] $159.00 — Inspection during contiguous normal business hours (1 hour minimum): inspection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY 0 S pedal Conditions otPaTdtA pply, '(SeeA ttached) invoice No: FS54M Customer No: Rates changed per newMasterF ee S d►edule adopted by R esolubon N a 2015-76 on S eptemoerz4, MD. Note: Effective Fire Permits are not transferable. Ousiness sold, orifquanfides orprocesses change, anew Permitis required. . ) r: Z ifeSaW en ices'T oms/A pplig6on rorTerrp Permit- S pedal E vent(09-22-15) It f City of Newport Beach Fire Department Propane Heater/Cooking Conditions Event: 6/15/16 island Hotel Catering — Pimco Lunch 650 NCD 50 Guests LPG: • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured from tipping. If LPG used, permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent canopy or temporary membrane structure. • Provide at least one 2A:1013C fire extinguisher at all cooking/heating locations. • Outdoor cooking that produces sparks or grease -laden vapors shall be a minimum of 20 feet from tents. • An inspection by NBFD personnel must be performed and the cooking area approved before use. • No deviation from the approved plan or permit unless approved by NBFD personnel. • Temporary furniture, tables, chairs, heaters, fire pits shall not block the accessible and egress route. Maintain a minimum of 48" clear GENERAL SAFETY: • Do not obstruct exits from the building. Do not exceed maximum occupancy. Do not obstruct Fire Department access. Do not obstruct any firefighting equipment. D �17 r ON -'ODEL - R 'AD A-1 For, 'Outd- m-- ' S c I rMYOUR SAFUY. Ah 44. APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT L1FEAF v ICES DIVISION ' s1 pr e. 8Y: DATE-._6�/ rBusines!s Name: Signature Party Rentals 7Address: Name: 562-243-1261 cell Email: hharden@signatureparty.com Contact Name: Heather Harden Contact Name: Event Name: Hoag Hospital Newport Beach Employee picnic- R#61893 EventAddress:1 Hoag Drive, top of South Parking Structure, Newport Beach. Ca Event Date:6/16/2016 Event Time: al I day No of Attendees :seats for 552- will vary throughout day SPECIAL EVENT PERMIT INFORMATION (A site plan is required for all permits, except candle permits. Fee applies to each individual Permit as marked below) (6) 20XL0'. (5(10z10, (1(15k35', (1(15 z 55' O Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag No. "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. (10)Sga4 gntlEles; (2)10 9a4 wens 12 tanks W Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks p 3 amp generators Nuid -Fuel icles qui en " sse ui nti cle ► am require of interior i uding location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) W $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 — Inspection during contiguous normal business hours (1 hour minimum): Ins ection Burin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION ONLY ❑ Special Conditions of Permit Apply, **(See Attached) invoice No: FS5400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution ►vo. 201 lb on Jepiemver «, cu ta. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, anew Permit is required. F:ILifeSafetyServicesl Forms/Application for Temp Permit - Special Event (09-22-15) City of Newport Beach Fire Department Special Event Propane Cooking/Tent Conditions Event: Hoag Hospital Employee Picnic 6/16/16 1 Hoag Dr. — South Parking Structure 552 Guests throughout the day • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Motor vehicles and internal combustion engines (generators, etc.) shall be located a minimum of 20 feet away from all tents • Inspection is required, please contact the Fire Department to arrange date and time t �* �i1,► �7,► �7,► wit;,►LIN • ��� olp i� �i1► �i1,► t;y�t44 .. ILEt Ir 10' x16' SPACE 1-- z W H w0 = LL N N ui VZ CL mN za 1V (L Y Y� va 00 mz STEP #1- PICKUP BURGER STEP #2- SALAD, CHIPS, CONDIMENTS, UTENSTILS PICK UP BURGER 1ST THEN SALADS, CHIPS CONDIMENTS 10' x16' SPACE LATTICE Generators !l MUST BE 20'FROM ALL VE VEHICLESI! BLOCK AT LEAST 4 SPACES HERE a Client: Location: Room: Prepared On: 06/12/16 11:39:15 Event Name: Date: Time: Prepared By: Heather THIGH WALL HUNG FROM TOP FOR $HA (59) 48" rnd tables w/8 per & 9' market umbrellas- 472 (8) 8' x 48" white Amalfi tables w/10 per - 80 seats Total seating= 552 guests r z w r w 0 us 1y N N Uc a3 N y z cc V ¢G aw Y Y¢ 0 a Q 0 mz STEP #1- PICKUP BURGER STEP #2- SALAD, CHIPS, CONDIMENTS, UTENSTILS PICK UP BURGER 1ST THEN SALADS, CHIPS CONDIMENTS II10't16' SPACE BLOCK AT LEAST 4 SPACES HERE On: 06/12/16 10:59:18 Event Name: Date: Time: Prepared By: Heather W HIGH WALL HUNG FROM TOP FOR SHADE on (59) 48" rnd tables w/8 per & 9' market umbrellas- 472 seats (8) 8' x 48" white Amalfi tables w/10 per - 80 seats Total seating= 552 guests Stanchions STEP#1- PICKUP BURGER STEP #2- SALAD, CHIPS, CONDIMENTS, UTENSTILS PICK UP BURGER 1ST THEN SALADS, CHIPS CONDIMENTS BLOCK AT LEAST 4 SPACES HERE Event Carpet Pros, Inc. 14301 La Mirada Blvd. La Mirada, CA 90638 Phone 714-739-2686 Central Laboratory Operations Laboratory Test Report Test Date: 101111-6 Date Completed: 10-12 2011 Produet 111fornrntion: Company: Event Carpet Pros, Inc. Style: Eveiii Turf (54623) Test Conducted: ASTM D 2859 also referenced as CPSC FF 1-70 - Methen-unite Pill Test / Ignition Characteristics of Finished Textile Floor Coverings. Test (Zest/its: Number of Specimens Tested: Number of Specimens Passed: Sample Meets or 1;.xccccls the Rcryairements of CPSC lel 1-70 Approved by:RCL4v N.w Thic report shall not he reprahtced a+ccpl in rtdi, uilhmtt tin++tiltca nilpittrnt of the 111IMMIucy. Tins Incility 1,-tudiwil by Ilse Nwhowl V.1minuy I-nbornfoty Awtdiuniull Paq#rant tNVLt4Py rat list 3pcti06 xtope ar near<Iltotian natter rah rmlo 100191-1i (7tw upo.( it prnviJni fv rite erchrrire me u[thv NiMt[ to f+itans itit oddomped. [tefullsor tlrc rcpnrt vre reiatnf oniy to the mnlerinf iJcntiricJ tmtl tested 7hk ul—1 curt not benscd by rttcetichrt is c[nb1: product ecriititntian. npprneni, ar etolo—u.t by N VI.AP. NIS 1'. or tmy ngrrrcy arthe Fcdaai Chtvcvuucul � INj bM.RF Un Co0593-0 01/08/2015 16:53 15629089466 CONVENTIONAL TENTS PAGE 01/01 �y Dole rea a or 4�ao+ C' Rip OEOISTERED ISSUED BY manufactured APPLICATION Conventional Tents & Awnings N ' CONCERN No. 4416 Western Avg. 7 Whittier, CA. 90446 ME P F-304.02 P•7d&02 This Is to certify that the mat®rfeis described below have been flame-retardant treated (or are inherently nonflornablej For City State-•—� n (A) Certwo'ation is hereby made that; (Check "a" or "b" L The GtFite described d that the ppllc apploate hove been ication of said ohom carewas oated lth cl ne nflafne a nformance with the laws the State 01 California the State Fire Mars and the rules and regulations of the State Fire Marshal, Chem,Reg.No Name of chemical used Method of application— by the State Fire The articles described below are made from a flame-resistanoe fahric or materla) ragistred and approved M (Si Marshal for such use. FV{ Reg. No, •346.02 Trade name of flame -resistance fabric at material use C Vinyl _ F The Flame Retardant Process Used wiles^Be Removed By Washing WIII or Will Not NIA RV f'/1 /if mil title Home of Appllcator or Plo;lue lon luporlNantlenl CONTROL. No, CUSTOMER ORDER No._ CUSTOMER INVOICE No, YARDS OR QUANTITY, COLOR,,,__ .. sTYLE DATE PROCESSED—�� Michael, Steve From: Sent: To: Cc: Subject: Attachments: Hi Team NBFD, Heather Harden <hharden@signatureparty.com> Sunday, June 12, 2016 11:48 AM Morris, Nadine Wun, Raymi; Michael, Steve; Perrin Chamberlin Signature Party Rentals- New Permit Request for Hoag Newport Beach Employee BBQ 6/16/2016 event south parking jpg; LAYOUT.pdf; Application for Temp Permit to Operate _ hoag 6 16 2016 summer bbq.pdf, guest seating.pdf; buffet kitchen prep space.pdf; Event Turf.pdf; flame cert -frame tent 2015.pdf I hope you are doing well & you had a nice weekend. I have a new permit request for Hoag Newport Beach's second annual Employee BBQ for this week. There will be multiple feedings of employees throughout the day, but we have planned seating for 552 guests. We have canopies that will only be used for stage, food prep & service.. In addition, we have added two canopies this year for guest shade coverage.. One is 15' x 35' & one 15' x 55'. Setup will be the day prior starting early am, so I anticipate you could come inspection at 4pm the day prior if possible (6/15) . Please review the attached and apply all if you have any questions. Sincerely, Heather Harden Event Consultant Signature Party Rentals Direct Line: 714-954-2636 Main line: 714-545-6777 Fax: 714-545-9713 C.O.D. Policy Method of payment accepted; Visa, American Express, MasterCard, Discover, Cash or Check. Checks must be received 10 working days prior to scheduled delivery. Cash/Check payments will require a credit card to secure equipment. Resevation Policy All C.O.D. orders will require a 25% deposit upon reserving the order. Cancellation Policy Cancellation policy for orders under $1000.00 Any equipment cancelled 24 hrs prior to the delivery date are not subject to a restocking charge. A 50% restocking charge will apply to any equipment loaded onto the truck and in transit. No credit will apply to equipment that is delivered or setup. Cancellation policy for orders over $1000.00 Any equipment cancelled (7)days prior to the scheduled delivery date are not subject to a restocking charge, deposit is refundable. Any equipment/orders cancelled within the (7) days of scheduled delivery will be refunded less the 25% (original) deposit. The cancellation policies exclude any special order equipment. Special order equipment will be subjected to a restocking charge if cancelled less than 7 days prior to the scheduled delivery date. No refund will be given on consultant site inspection fees, ($75.00). z APPLICATION FOR FIRE PERMIT FOR SPECIAL EVENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 , • . , , . l , ' • Business Name: Signature Party Rentals Applicant Name: Phone: cell#714-412-5106 Address: Email: dcardenas@signatureparty.com; meden@signatureparty.com Email: Contact Name: Diane Cardenas Contact Name: I. Event Name: Summer Concert 6/28/16 R#65119 Event Address: Newport Dunes, 1131 Backbay Drive Newport Beach CA 92626 Event Date: 6/29/16 Event Time: 5pm No of Attendees: approx 1,000 EVENT-PERMITSPECIAL O• (A site plan is required for all permits, excepLoandle permits. Fee applies to each individual Permit as marked below) O Tents and Membrane Structures Size of tents) ( 10) 20x3O In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tanks) 10 gad Quantity of tanks 4 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks, ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a Annual Permit Expiration Date ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Inspection durin non -continuous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION ❑ Special Conditions of Permit Apply, **(See Attached) Invoice No: Customer No: 9� New Master Fee Schedule adopted October ZZ, Z073 per Kesolution No. zu l;t-iz. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F:ILifeSafetyServicesIForms/Application for Fire Permit for Special Event Template (11.04,13) City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 6/29/16 Dunes Summer Concert 1131 Backbay Drive 1,000 Guests TENT: • Inspection required on all tent permits. Inspection fees apply, call when ready for inspection. • Post occupant load • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. COOKING: • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time Room name: HOAGHOSPITAL-SUMMER CONCERT 2O10 Ceiling Height 100]]ft Prepared By: Diane Cardenas RESTROOMS Room name: HOAG HOSPITAL -SUMMER CONCERT AREA A Ceiling Height: ;mJ # Prepared By: Dan Cardenas Occupancy: Prepared On: ma71Z61+1em Remarks: � � 4► .► '\► !/y iA i ,� # � `� � � " a► .« � ` � �� ff% � �■ �■ I IC EXIT aG, N Room name: HOAG HOSPITAL -SUMMER CONCERT AREA B Ceiling Height: 100.0 ft Prepared By: Diane Cardenas Occupancy: Prepared On: 06/27/16 19:17:39 Remarks: RAFFLE TABLE WNMBRELLAS LM } . 03/12/2013 11:14 15629089466 CONVENTIONAL TENTS PAGE 01 "N. �g7R UED BY e e or Qti aj CA ,rah REGISTERED ConventioSnal Tanis & Awnings manufactured s APPLICATION 6416 We3tern Ave. March 2013 CONCERN N4. Whittier, CA. 90606 F-306.02 This Is to certify that the materials described below have been flame-retardant treated (or are inherently nanflamable) 2211 s Susan St. POT Signature Party Rentals Address City Santa ^a $tart CA 92704 T '1 (A) Certification Is hereby tirade that; (Check -d' or "b" The aMfolcts described below on this cer"COte have been teated with a flame-retardant ahernlcal approbed and regl by the State Fire Marshal and that the application of said chemical was done In cOnformanoe with fhe laws Of the Sid* of California and the rule& and regulotlons of the State Fire Marshal. Name of chemical used_•,_ Chenl,Reg.N* _ Method of application The articles described below are made cram d flamt•resl5tdrtce fabric or materla4 reqlslred and apprOYed by the Staff r7 (a) Marshal for such use. L No ^ F-206 02 J Trade npme of flame resistance fabdo or nugeACII use PVC Vinyl —Req. The Flame Retardant Process UsedWillNot Be Removed By Washing rrr of wlr Nei Jesse Ra no Nvmo of Mr i—a ImduotPon S"p AmalwoM CONTROL No. CUSTOMER ORDER No. CUSTOMER INVOICE No. -- YARDS OR AUANTTIY 2m_�ards COLOR y�sfe STYLE DATE PROCESSEp N.rch 2013 1 - 20 x 40 Canopy Top By -je-3se-Wo-m-oTFms1denT Title Fax Ta_CC�f� From: Date:,,,.. No. of Pages:....._1 �/ 000 00 0 ° °� O 0 u Q �^ O Q 00 z Q W F— N tz, / z 11 �� o0 0 Q ,NO Q Q Q 0 O OQ O ��' Q0Q00 � O Q Q 0 � 0 Q Q Q �b OQ Q 0 ti O O 0 0 0 0 � Q Q Q Q 0 �O / 0 O z W V 0 w m APPLICATION FOR TEWORARY PERMT TO OPERATE FIRE DEPARTIVENT Nev.port Beach Fire Department Life Saky Services 100Civic Center Dive, Wviport Beach, CA 9266D (9Q 64443IC6Fax (9* 644a29 NE1NPp" BEAW FIRE DEPARTMENT tM al201j=" ///ff ++ v Bu7a'S7 me: Signature Party Rentals Applicant Name: Ph -545-6777Address: Email: pchambertin@signatureparty.com Email: Cvrrtact Nme: Heather Harden Contact Name: klimm Event, l4amme: The Cannery - mAdoor patio c#17' 738 Event Address: Cannery restaurant, 3019 Lafayette Road, Newport Beach CA 92663 Event Date: 6124-71016 EventTime: 10arn-9prnt I No ofAttend :- luctuates SPECIALPERfVff 1:" k' 0".isrEi"foray#C S tP'!t#S- g #C. c. .#r':s t# a. -# '! PC# # " 0 Teats and Nknbrane Staructrues Ste oftentjs) ,in excess of 4,00 sq ft ma sides or 7OG sq ft wiftut si&s. SiLe purr r.,gdzed to made fire fo to vOirrg: 0- Square:FacataW of can, tesct or rrtembrane struct re;► Number of Tent'l ds * Lccafan of Exit faroclkade sime, type, ,ems) 1P. Location of Fie arislers,lrniaim= 2-k-111- r� aah current sera ice tag R 'Na ,anckun] f s M► Upgram fcr iirteri}nr including location ofchair, tables;, mer ndise I1- Occupant loadibr evert_ Use 15 ware feet per pemon brewntsmiffi tales and chiim the sever square feet per person for events v dl mut tAlmand dates Anappmad�occupantiradv& fre➢isted as a mqi Mtcfpew-d- Whhen sued_ I t Liquefied Pet oletum, Gas (LP -gas) 372e Of tan ws p �g aI QuantKy oftan 1p,. SitM plan squared shavfmg lacy not conkingwfaea ft equipment andstraw 10- Weeds, grassy brush trwh, and othercombustkia rnatterials shaM be kpta minimum of 10f farm LP-gastanks a Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quarrtrty,oi idles IR [D iagram re qui ed cf interims iindudirag bcation,afeaairss tables, vehicles and bcatk n of extfs. U Candles & Open H arries in Assembly Areas Quant<`t of canalies P. Pararrgements tobe sad topether ascme, wk tram vhclm to duce flume hei*t and ensure corrditicins are falE6wed. U Other (specify 0 6.00 - carccdles Cinciudes larst ,e and spedat a to M 142-00 - Per Individual Permit as ma*ed above, rorspec ion fee inc5ided if durI g w'eekday r omi7bunsirtess hoursD 159 l0 —Ins on drrr'n iti�ta� racrrraal tausitress b�arrrrs Jl ?atc� rnir�un�t�t)71 Irasmr dtrrira 2q -cta - az rt�s anal siaaess-houm, vueekeri- hour an 'ADIVINISTRATION ONLY Q SFedaf Ir crx f0ons W E miftAfJpl'y, **($ eeA ttuchW) Invoice No: FS540D Customer No: Ralesctrarrgedperne e. a171-7G�arrstefri�er:r<t.. Jae: ERecdve Fre Parmfts are nottransferable. ;fbuskpasssold, ar quand orprocesses dvngeanewPorrrartisrequired C. r gg' ............... Cannery Seafood _j the Pacific It 'If; AV AV 04, tie 4t IK 0 4 li APPLICATION FOR TE MPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 10DCivic Center Drive, Newport Beach, CA 926M (9491) 644-3106Fax (949) 644-312D NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SERVICES DMSION THI N ig d Fir Department BY se r DATE: LK:..:JL:........:......,. � � � i • � j • : 1 7Nae. Business Name: Signature Party Rentals ApplicantPhone: 714-545-6777 Address:Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Harden Contact N •N 1.111 • Event Name: The Cannery - Father's Day weekend & week (patio) C#171141 Event Address: Cannery Restaurant, 3010 Lafayette Road, Newport Beach CA 92663 Event Date: 6/17-6/22 Event Tiime:10am-9pm I No of Attendees : fluctuates SPECIAL•R• (A site plan is required for all pendts, except candle pffnits. F ee applies to each indhfidual P ernit as n7arked befovO ❑ Tents and Nbmbrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) 5gal Quantity of tanks 2 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Inspection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMNISTRATION ONLY Special Conditions ofPo7dtA pply, **(SeeA Meshed) rZ Invoice No: FS540D Customer No: rj Rates changed per newMasterFeeScheduleadopted byResoWtionNa 2075-76on5epterrIOWZz, zu15. 'Able: Effective Fire Permits are not transferable. lfbusiness sold, orifquantifies orprocesses change, a newPermitis required. �_ ,,.,. ::: �r•.. ,rr . rr �,:,•:•-.r,:, f »019 F:ILifeSaretyServices'Fours/'Application for T'enpPerrrit-SpecialEvent (09-22-15) A 6� r� City of Newport Beach Fire Department Propane Heater/Cooking Conditions Event: 6/16/16 — 6/22/16 Father's Day weekend & week (Patio) The Cannery Restaurant 3010 Lafayette Road 100 Guests LPG: • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured from tipping. If LPG used, permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent canopy, or temporary membrane structure. • Provide at least one 2A:10BC fire extinguisher at all cooking locations. • Outdoor cooking that produces sparks or grease -laden vapors shall be a minimum of 20 feet from tents. • An inspection by NBFD personnel must be performed and the cooking area approved before use. • No deviation from the approved plan or permit unless approved by NBFD personnel. • Temporary furniture, tables, chairs, heaters, fire pits shall not block the accessible and egress route. Maintain a minimum of 48" clear GENERAL SAFETY: • Do not obstruct exits from the building. • Do not exceed maximum occupancy. • Do not obstruct Fire Department access. • Do not obstruct any firefighting equipment. r� �a Canaryacific Seafood y T, of the R�c�fic �` lrAW d) w APPLICATION FOR FIRE PERMIT FOR SPECIAL EVENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT UFE SAFETY SERV INV ON ne ire T a ►�D r rep s DATE' mom 7Busines!me: SIGNATURE PARTY RENTALS Applicant Name: 954-2615 Address: Email: ecanales@signatureparty.com Email: Contact Name: EDDIE CANALES Contact Name: Event Name: ACCESS DESTINATION SERVICES- ALLERGAN BEACH PARTY - R#67400 Event Address:1107 JAMBOREE RD., NEWPORT BEACH, CA 92660 Event Date: 6/21/16 Event Time: 6PM No of Attendees: 200 PERMITSPECIAL EVENT • + except(A site plan is required for all permits, applies ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for -events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) 5-GALLON Quantity of tanks 6 It Site plan required showing location of cooking or heating equipment and structures Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 110 feet from LP gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles Annual Permit Expiration Date D Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are follower( SPECIAL EVENT FEES 0 $46.00 - Candles (includes first time and special event) 0 $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection during,non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION Special Conditions of Permit Apply, *"(See Attached) Invoice No: Customer No: New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. t F.ILifeSafetyServiceslForms/Application for Fire Permit for Special Event Template (11,04,13) p , � 2 aid L `% N4) >riLS �D s 1�w City of Newport Beach Fire Department Special Event Permit Conditions Event: 6/21 /16 @ 6:OOpm Hyatt Resort 1107 Jamboree Road Grass Amphitheater- LPG Fire Pit 200 Guests Propane Fire Pit: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Heating equipment shall not be located within 10 feet of building exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. I I s�(n o hoCD o °1 60 CD ,Ms a0 sg� � }_ ,, fit. `i-, �.•. q. �.,� " z �w wfl -/ ry17 � a+yam � , •, ' . ? s r s -z� � a, �: •a- tE t � �� °� y , a! J,am bbree w ,. , ` ak t Lo'catioll lk z ' all �; ...,,.. � .e•:- y � TAR - w L _ T (Q 2016,Gofggle . ' ►� t, Wun, Raymi From: Sent: To: Subject: Eddie Canales <ecanales@signatureparty.com> Friday, June 17, 2016 11:14 AM Wun, Raymi RE: Propane Fire Pit Request - R# 67400 From: Wun, Raymi [mailto:RWun newportbeachca.gov] Sent: Friday, June 17, 2016 11:10 AM To: Eddie Canales <ecanales signatureparty.com>; Michael, Steve <smichael@newportbeachca.gov> Cc: nmorries@nbfd.net Subject: RE: Propane Fire Pit Request - R# 67400 Eddie, Do you have a picture of the fire pits? Raymi From: Eddie Canales[mailto:ecanalesC�signatureparty.com] Sent: Friday, June 17, 2016 11:06 AM To: Michael, Steve; Wun, Raymi Cc: nmorries@nbfd.net Subject: Propane Fire Pit Request - R# 67400 Hello I need to submit a propane permit for our client. It's only six fire pits. Delivery is on 06/21/16 from 8am- 4pm. Event time from 6pm- 9:45pm. We are picking up the next day 06/22/16 from 8am-Noon. I have attached a 1 APPLICATION FOR TE NPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 926M (90 644-3106Fax (90 644-3129 NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SE VICES DIVISION si d by i'e Departmen By. — r ,. `ice -- DATE: -7 I-( - I ( ® 7Busines! •• 1 •• 1••ime: Signature Party Rentals Applicant Name: 954-2621 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Perrin Chamberlin Contact Name: 1141.14 kyj 1.11• Event Name: ESPYS: Resort at Pelican Hill - Golf Pavilion R#67401 Event Address:22701 Pelican Hill Road South, Newport Coast, CA 92657 Event Date: 7/11/2016-7/13/2016 Event Time: 6am, 2pm No of Attendees :160 SPECIAL PERMT INFORIVATION (A site, plan is required forallpernits, except candle pea4ts. Fee applies to each individualPffnit as markedbelovO 0 Tents and Nbmbrane Structures Size of tent(s) 40' X 80' In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) n/a Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Inspection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY Special C onditions of w to pply, -(S ee A ttached) G r Invoice No: FS 540D Customer No: S t 6 J Rates changed per newMasterf ee Schedule adopted by R esolution Na 2015-76 on S epterriW 22, 2015. Note: Effective Fire Permits are nottransferable. Ifbusiness sold, orifquantities orprocesses change, a newpennitis required. F. t ireSafetyServicesf oms/A pplication for ienp Pemit- S papal f vent(09-22-15) 9GfJl f _ _ . . i �Nb�eS i ��, y..a.%.'�.' w+Et r . s� aK{dit ,�.t iZ�! �:rn ai MNUW�Awr bA '�'r� � �� ,wV Y• City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 7/11/2016 thru 7/13/2016 Golf Pavilion Pelican Hill Golf Course 22701 Pelican Hill Road South 160 Max Guests TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Il. R m 0 0 0 0 07 u -buls, 'A CIQQ a" Y, DUO c bo 14 X PM-4 4-j POEM 4-o o Ey CD � 14 W C, . a -4 0 as to M., E Doi OS JR, EF A -= JIR 0 VEX z V EX Xy 0_0 E .0 .a LI EL' ► ;E " --2 G C L as 13 Certificate of Flame Resistance Registered No. ISSUED BYManufactured Date F I22.29 Tacoma Tent & Awning Tacoma, Washington 3:] (253) 627-4128 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). For: Signature Party Addressl: 2211 South Susan Street Rental Address2: City: Santa Ana State, Zip: CA 92704-4418 Certification is hereby made that: (Check "a" or "b") The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical w4s_done In - conformance with the laws of the State of California and the Rules and Regu I lations of the State Fire Marshal. Name of Chemical Method of Application Chem. Registered No. The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric I S-83 B/6-H—erculite -T-F122.29 RegjsWrred No. MMM Darrel Brown By Tom RAndles Name of Production Superintendent Description: (6) 40 X 20 b/o ends - s & b (6) 40 x 15 b/o mids. — s & b (9) 40 x 10 b/o mids — s & b APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEINPOFrr BEACH FIRE pWARTMENT LIFE SAFEWSERACES DMSION TM+ L W_MWWAW_*&8MN1AP0W10I1D K,ied y ire Department BY` r ,.- Vn �I AA Business Name: Signature Party Renatals 7Address: Name: Phone: 714.910.6501 Email: kplummer@signatureparty.com Contact Name: Kara Plummer ame: fts Event Name: Balboa Yacht Club Governor's Dinner Event Address:1801 Bayside Drive Corona Del Mar CA 92625 Event Date: 7/18116-7/23/16 Event Time: 5:00 PM No of Attendees: 300-325 PERMITSPECIAL EVENT • 1 Permit(A site plan is required for all permits, except candle permits. Fee applies to each individual Wients and Membrane Structures Size of tent(s) 40 x 95 x 10'H n excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) n/a Quantity of tanks n/a ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a Annual Permit Expiration Date ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection during non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION Special Conditions of Permit Apply, **(See Attached) Invoice No: Customer No: New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.ILifeSafetyServiceslForms/Application for Temp Permit- Special Event (11.07.13) Vi�Yg1 !!"(1skt'!q'�Fg.J.rkyyA' ���ssS,,'C6'S Rya✓P�4p�T�T p8 PaS�k6' yyptl:lYi Q-.kVQ tqA 14a33 &AH a llYW34 ill ii i, T �'.YCII .3 irY 3 City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 7-18-6 thru 7-23-16 Governor's Dinner Balboa Yacht Club 1801 Bayside Dr. 325 Guests TENT: • Inspection required on all tent permits. Inspection fees apply. The inspection is scheduled for July 18, 2016. • Post occupant load • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. If LPG used, permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • Table and chair spacing: ■ Eight feet table edge to table edge shall be provided when an aisle serves seats on both sides. ■ Six feet table edge to table edge shall be provided when an aisle serves seats on one side only. • The width of aisles in occupancies without fixed seats shall be provided as follows: ■ The minimum clear aisle width shall be 36 inches where seats, tables, counters, furnishings, displays, and similar fixtures or equipment are placed on one side of the aisle only. ■ The minimum clear aisle width shall be 44 inches when such fixtures or equipment are placed on both sides of the aisle. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Room name: Balboa yacht Club Prepared By: Kara Prepared On: 07/07/16 15:51:58 Ceiling Height: 10.0 ft Occupancy: Remarks: WATER _Clear Side Wall _________ 60" 60'' 1 ( fio" ft 84 I o 'wh wno wno wno wi3O wno wno wno J� J� J� J� J� J 1� I0 ( 1 ( ( 60' 1 ( 60" 1 ( so ( 1 ( 6ti" 1(CL w,;o J w1,o° J w J w„a J ,10 J w„o J w J w ( 1 ( 60" 1 ( 6U" 1 ( 60' 1 ( 60" 1 ( 1 ( do" 1( 6o.. w,iv J � w,.10 J � w„0 J � w„o. ) � wno J � w„o J 460'� ( 60" ` (�6- 01 ( 60" 1 1 60" 1 ( 66" 1 ( 60" j ( 60" 1 :who J � who J � w/,o;, J � wno J � wia.0' J ��W/' J� wno J ��W/i J 01/08/2015 16:53 15629089466 CONVENTIONAL TENTS PAGE 01/01 Date treaTea.or manufaoture�i f2E61STERED ISSUED BY Tents & Awnings APPLICATION Conventional 6416 western Ave. CONCERN Na. Whittier, CA, 906Q6 F-3d6.02 This Is to certify that the materlais described below have been flarne•retardantireated (or are Inherently nonflamab{) For • _ W „^�„�Addres8_ ..'• -� City State n (A) Certification is herel3y made that, (Check °an or "b L. The articles described below a®ahisl applioato have been cation of sold *ham caewas oated lth a ne nfconformance nWith the chemical laws aof� S ate ofrCalifornia the State Fire Marshal and that t pp Lind the rules and regulations of the State Fire Marshal. Chem.Reg.No, Narno of chemical used Method of application_ • roved by the State Fire The articles described below are made from a fiarne-resistanot, fabrio ar material rag- red and ape M tg) Marshal for such use. p�IC Vlnyf Reg. No. F-306.02 4-„j Trade Homo of Flame -resistance fabric of material u�AI Not Be j�et'Y1C►veC� B}/ WGNS�tint� ' The Flame Retardant Process Used - Y ill Not ^ NIA fiy title NaMo of Applicator s Prop:KXon 6upotlnfmPCmt CONTROL No.�--- CUSTOMER ORDER No._ CUSTOMER INVOICE No. YARDS OR QUANTITY COLOR„__ -r DATE PROCESSM. +6 t-lertille-ate'-of ' $1rJCa�iieri«d'balQ' F122.29 Tacoma Tent a-Awrifrv2.7.32 T;Aaonra,Wastijil9tort h€s ,s to- certify -that the materials described Wow hayz, -t eon m iaiar troatki (tar ar �, €T'chr::ieritty r-tostfiarnr�rrai�le}. � . For. PAOature Party, _ _ AddresiA h 2211 South Susan Stet �ddr•�ss; = ' ' pity: Santa Ana Stati,:zip: CA 92704 CeriIticatIon, is hereby made that; jCheck "a" or^ R,w"j:. r to —the aa%iaie s�escribed below have iae�rr t;aied.SvS :a f airt r r ;rat art" Hirai t.a -PMV0 n registered by the State Fire I�Iarshal end fiiai iiaa ap�lsca�c�Yr a���ti�i chvirric�i vr�s darr� try canformance with the iarr�� cat �� S�� �� Caiiforrila arrd�i�r~ fiirtc& �ratl Reacalalscar� af, � at�� Fire Marshal. ilmue of Chemical ahem - Reis `4d Roil ' Method oiApplication (b)ra rnado rni arr3 is T� far €a�a izat ri sniff -l;i� atticiea described be Q 1 � approved by the Siato Fire Marsh'at for —Oh Trade name -of flarne"res€starit faOr'sc Hor t!HW'Sr82239 ' Tb 0. , Y . • i _ Dd el Brown, , , .. ' »i 3? ♦ . �r ` f rttc . 4 kis s8 .. . (2) 40X24 b/ol►p .Entl �' . , 516. 468 4C2$` G AQER [[ j C i 518- M - 4M EXECUTIVE OFFICES 107 NORTHERN I3OUL.EVAFID GREAT NECK, N.Y. 11021 E i S y t I 7 f 4 i June 15, 2016 i LAMP BUMQUE11EICAMN , ; 3 WE CERTIFY THAT ALL NYLON FABRIC SOLE) BY GLASER MILLS, INC. AS "F � E RETRAD NYLON $ 401 W MEETS OR E)CCEF-D$ THE REOURE rtEt� T$ QF SPEG. FIF A 701-SMALL SCALE. ` f i I GLA R MILLS, INC. ; R A.GLASER -s • i . s i 01 6\f e-9 �k V e-t-� . } fi w APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT UFE SAFETY SE VICES DIVISION, TI.1 RMit EENAR,RRDy6['1 sip ed b Fire Departmept` B , sere ti Business Name: Signature Party Rentals Applicant Name: Phone:714-954-2636/ cell #562-243-1261 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: Island Hotel at Lincoln Experience Center- c# 1732274 Event Address: 401 Newport Center Drive, Fashion Island, Newport Beach Ca 92660 Event Date: 7/19/2016 Event Time: 10arn I No of Attendees: 150 guests approx SPECIAL EVENT PERMIT INFORMATION marked below) ❑ Tents and Membrane Structures Size of tent(s) n a In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. O Liquefied Petroleum Gas (LP -gas) Size of tanks) 10 GALLON; CONV OVEN Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candlesna ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). tion during co ormal busin (1 hour minial Ins ec ' du ' non-conti uous a business ho a tend or holida , hour minimum • ADMINISTRATION ONLY Ift Special Conditions of Permit Apply, **(See Attached) S� O Invoice No: FS5400 Customer No: "( Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F. [LifeSafetyServiceslForms/Application for Temp Permit - Special Event (09-22-15) City of Newport Beach Fire Department Special Event Permit Conditions Event: 7-19-16 @ 10:00 am Lincoln Experience Center Fashion Island 401 Newport Center Drive 150 Guests Propane Appliances: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Heating equipment shall not be located within 10 feet of building exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. ' .s APPLICATION FOR TEIVPORARY PERMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 10DCivic Center Drive, Newport Beach, CA 9266D (940 644-3106Fax (949) 644-312'J NEWPM BEACH FIRE DEPARTMENT UFE SAFETY SE ES DIVISION .e�oly� DAB " j M- 7Businesisme: Signature Party Rentals Applicant Name: 545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Harden Contact Name: !• ! Event Name: McKesson Dinner on Via Capri Street - C#173199 Event Address: Resort at Pelican Hill, 22701 S Pelican Hill Rd., Newport Coast CA 92657 Event Date: 7/19/2016 Event Time: 6pm EKb of Attendees :145 SPECIAL EVENT PERMT INFORIVATION (A site plan is required for all permfis, except candle permits. F ee applies to each individual P a7dt as marked beloW ❑ Tents and Nbmbrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) No. Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) 10 gal Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas Tueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION ONLY 1@ S pecial Conditions ofPerTdtA pply, **(SeeA ttached) t b Res Invoice No: FS5400 Customer No: J Rates changed per newMasterF ee Schedule adopted by R esolution Na 2015-76 on S eptember-22, 2015. Note: Effective Fire Permits are not transferable. lfbusiness sold, orifquantifies orprocesses change, anewPermitis required. F. V ifeS afetyServiceslrormsAl pplication for Tenp Pernit- Special Event (09-22.15) City of Newport Beach Fire Department Permit Conditions Event: 7-19-2016 Location: 22701 Pelican Hill Road (Via Capri Street) Pelican Hill Resort, Newport Coast Guests: 145 Cooking / Heating Area (LPG): 1. All cooking appliances shall be separated from public access. (i.e., a table or a fence to provide a physical separation barrier) 2. Each cooking area must have a minimum of one, 2A: 1013: C fire extinguisher with current service tags. 3. Only one propane bottle for each appliance. No backup propane bottles will be allowed — no storage of LPG tanks. 4. All propane bottles connected to cooking appliances shall be secured from falling to tipping. 5. Cooking areas should not be placed within 10 feet of building or a doorway /opening to a building. 6. Cooking areas should not be placed within 10 feet of combustible materials. 7. Storage/Cooking area must have substantial physical barrier from vehicles and parking lot area. Access: 1. Maintain a minimum 15' clearance around fire hydrants. 2. Fire Department emergency access is required on Via Capri. Full length of Via Capri shall be accessible at all times with a minimum of 20' wide and 13' 6" height vehicle path. 3. If physical barricade are used, they shall be manned, to allow for emergency vehicle access into Via Capri at all times. _V McKesson Festa area for Tues 7/ 19/ 16 musicians N 225 ,228 En tee z, . ; , Ztisotto , St i6l Station 8ciifipas Fizz J�eese. Stat Display. - q2 Cencstwc Artist 0 specialty O coffee gelato station O1CancaNre Artist O ~: ' W : a: T3447 Soup/Sala Station �% S.I. Foodso ® O ® Vendw12 IaBtts waA O IRON GATE 335 344- A .p �__ __ r .... ,i .,...., 6 d �,, APPLICATION FOR TEMPORARY PERMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 10DCivic Center Drive, Newport Beach, CA 926M (949) 644-3106Fax (949) 644-312D NEWPORT BEACH FIRE EPARTMEN'I LIF - SERVIC S DIVISION s �i -P i' si : e by Fir )epartment Q e. BY DAM t r 1 7Businesis Name: Signature Party Rentals Applicant Name: 14-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: KBS Lunch on Cabana Terrace - C# 173208 Event Address: Island Hotel, 690 Newport Center Drive, Newport Beach CA 92660 Event Date: 7/20/2016 =EventTime:11:30m I No of Attendees : 50 SPECIAL PERMIT •• • (A siieplan is required forall pen4ts, except candle peri4ts. F ee applies to each individual Pen�nitas marked below ❑ Tents and %mbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls No. Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. © Liquefied Petroleum Gas (LP -gas) Size of tank(s)10 gal Quantity of tanks 2 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE AMANISTRATION ONLY 10 Special Conditions W emritA pply, -(S eeA ttached) Invoice No: FS540D Customer No: u j R ates changed per newMasterF ee S chedule adopted by R esoludon Na 2015-76 on S eptember-22, 2015. Note: Effective Fire lennits are nottransferable. lfbusiness sold, orifquandges orprocesses change, a newPennitis required. F:ILifeSaretyServicesTorrmApplica6onfor TeripPendt-Spedalfvent(09-22.15) lV=/ City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: 7-20-2016 KBS Lunch Island Hotel Cabana Terrace 690 Newport Center Dr. 50 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time N m mz 00 —n = �%Nor �rn m �r Cl). 1 Q`yEvVPp�� o � cgc�Foa�'A COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newoortbeachca.gov 1 (949) 644-3200 1 FAX (949) 644-3250 COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY SERVICES THI ERMIT AS BEEN APPROVED DATE: 1 L(1 CP Application for TEMPORARY PERMIT TO OPERATE Business Name:Signature Party Rentals 7Address: Name: Phone: 714-545-6777 Email:Ishiroma@signatureparty.com Email: Contact Name:Corie Lovelace Contact Name: Emmill NJIFAII141k, Event Name: Nelson Wedding/Big Canyon Country Club Event Address:1 Big Canyon Drive Event Date:7/23/16 Event Time:430PM No. of Attendees :120 SPECIAL •• . (A site plan is required for all permits. Fee applies to each individual.. ❑✓ Tents and Membrane Structures Size of tent(s)4MO In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. Vn approved occupant load will be listed as a requirement of permit when issued. quefied Petroleum Gas (LP -gas) Size of tanks) � Quantity of tanks ► Site plan required showing location of cooking or heating equipment and str ctures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. [E]other(specify)(2) Generators, 45amp each (2) Generators, 45amp each SPECIAL EVENT FEES $9 142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). $159.00 - Inspection during contiguous normal business hours (1 hour minimum): Inspection during non-contiguous normal business hours, weekend or holiday, (2 hour minimum) BUILDING ADMINISTRATION ONLY 04 Special Conditions of Permit Apply, **(See Attached) Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F:I CDDISharedV.IFESAFETYSERWCESIFormsl4ppRcadon for Temp Perm(t (05.24.2016) M City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 7-23-16 Nelson Wedding Big Canyon Country Club One Big Canyon Drive. 120 Guests • Inspection required on all tent permits. Inspection fees apply. • Post occupant load • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs are required • Illuminated Exit Signs are required • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured. Open flame or other devices emitting flame, such as candles, are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • Table and chair spacing: ■ Eight feet table edge to table edge shall be provided when an aisle serves seats on both sides. ■ Six feet table edge to table edge shall be provided when an aisle serves seats on one side only. • The width of aisles in occupancies without fixed seats shall be provided as follows: ■ The minimum clear aisle width shall be 36 inches where seats, tables, counters, furnishings, displays, and similar fixtures or equipment are placed on one side of the aisle only. ■ The minimum clear aisle width shall be 44 inches when such fixtures or equipment are placed on both sides of the aisle. ■ Where the occupant is seated to the point where the occupant has a choice of two directions of travel to an exit. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. .a v E o *`• > ooL M a".a � U c cc coN N N O r o ~~~ y ccaU U c> Q• d R c� > c y M rZ N .i+ 5 W w > W C3 (C m Y V R .0 O a °' (o 0 C 41 fq C y ❑ d d d p C L ❑ %i. 0 N __.EW ■ . ■ ■enri■■pilsom ■o g-, S■MI�rnn � - ■ • oP 1:7■■ri�■■■ ■ sF�GiO■■It■■■ sY■f•i■sol�■■■ ■ . _ soon■OM■I�■■■ ■■■■■■■sly■■■ O d a O N � N l0 3 (D « w T . s O)LL O y >, = f6 d1 J + O c d = a) 020 U 3� L E m O U U O LL N O�vR-(n Z LL06 O i U U b vi p G O. c a e ya am cc O_ C. 4)i O• U- i N a0,1 O C w.- U N O coa m a rS e U ° °+�' c Q � .'� a �LLm .°•oa O 1� O Z m Q v t u -ir C? TU ,, Ui c lUi a V C ° a p O 0 C C C a w°�s o iv o of !9! N - N t N y a c aEL co �pJ c~n��tiC a 0 a� co C = y v a Sw CO Cu y 7 4- U d mo to UJ, d �U` 0O o LL p u. co� a `h rii «� ti z 3 to o YC .. V •� v To c = a L c i Ern a a C ce N m cu m X m E ° h n in wwco u zc`��z x E 4+ o%i�LLJm'c� + L L; 0 (U c m t'N3 �g ~ N a N 3 a a�� ca •;° a Z i O i w o a .2 v c a 3 E a 4 g U 00 V)NrAC1 Certificate of Flame Resistance Legistered No ISSUED BY Manufactured Date F199.29 Tacoma Tent & Avrning Tacoma, Washington 11121/2013 RAT (253) 627-4128 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable), For: Signature Party Addressi: 2211 'South Susan Street, Rental Address2: City: Santa Ana State, Zip: CA 92704-4418 Certification is hereby made that: (Check "a" or "b") (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said• chemical was' done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal, Name of Chemical Chem. Registered No. Method of Application f (b) The articles described below are made from a flame -resistant fabric or material registered, and approved by the State Fire Marshal for such use. Trade name of flarne-resistant fabric L -S-83 B/o He-rculite F1 22.29 Regj'steibd No. The flame retardant process used will not be removed by washing. Darrel Brown By Tom RAndles Name of Production Superintendent Description: (6) 40 X 20 b/o ends - s & b (6) 40 x 15 b/o mids — s & b (9) 40 x 10 b/o mids — s & b �EWPORT COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - LIFE SAFETY SERVICES G } 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 c �r www.newportbeachca.aov 1 (949) 644-3200 q<<FOR� DUE: 7-20-16 ID (EVENT NUMBER APPLICATION DATE APPLICANT NAME PRINTED NAME OF THE EVENT EST DAILY PARTICIPANTS EST DAILY SPECTATORS SPONSORING ORGANIZATION(S) SPONSOR ADDRESS SPONSOR CITY SPONSOR ZIP PERSON IN CHARGE PERSON IN CHARGE PHONE PERSON IN CHARGE FAX PERSON IN CHARGE EMAIL PROFESSIONAL ORGANIZER PROFESSIONAL ORGANIZER ADDRESS PROFESSIONAL ORGANIZER PHONE PROFESSIONAL ORGANIZER FAX PROFESSIONAL ORGANIZER EMAIL RESPONSIBLE PERSON ON SITE RESPONSIBLE PERSON PAGER PHONE EXACT LOCATION START DATE SETUP START DATE SETUP START TIME BREAKDOWN COMPLETION DATE BREAKDOWN COMPLETION TIME TIMES OF EVENT ESTIMATED ATTENDANCE ADMISSION FEE? ADMISSION FEE DESCRIBE PHONE NUMBER FOR PUBLIC EVENT AND INFO DESCRIBE PARKING FOR EVENT AND LIST ANY SPECIAL REQUESTS ANY PORTION OF THIS ACTIVITY TO OCCUR ON A CITY STREET, SIDEWALK STREET DESCRIBE IS THIS EVENT OPEN TO THE PUBLIC? OPEN TO PUBLIC DESCRIBE TRAFFIC SAFETY EQUIPMENT? TRAFFIC SAFETY EQUIPMENT 5414 16183 07/15/2016 0:00 SHERRI GRAFF NELSON WEDDING 120 COMMUNITY DEVELOPMENT DEPARTMENT LIFE SAFETY ERVICES M IT H BEEN APPROVED B DATE: `7 t V BIG CANYON COUNTRY CLUB ONE BIG CANYON DRIVE NEWPORT BEACH 92660 DAVID VOORHEES 949-706-5960 949-720-8339 DVOORHEES@BIGCANYONCC.ORG SHERRI GRAFF 310-922-5677 1 BIG CANYON DRIVE 7/23/2016 4:30PM-10:00PM 0 949-644-5404 IN A PRIVATE LOT. 0 0 0 Yew t. T- LIFE SAFETY SERVICES ONLY - TO RSS INSPECTION REQ'D: NO ❑ YES.,M PERMIT REQ'D: NO ❑ YES SPECIAL EVENT CAL N YES ❑ FIRE CONDITIONS: NO ❑ YES & IS ATTACHED ❑ $142. PER INDIVIDUAL PERMIT (LPG/TENT) X I = $ 1Lt2 ❑ $46. CANDLES (FLAT FEE) ❑ $159. INSP DURING NORMAL CONTIGUOUS BUS. HR (I HR MIN) X _= $ b NOT DURING NORMAL BUS. HRS (2 HR MIN) X _= $ TOTAL ESTIMATE $ ��� DESCRIBE DESCRIBE ENTERTAINMENT ARE ANY ROAD CLOSURES REQUESTED FOR THIS EVENT? ROAD DESCRIBE ALCOHOL SERVED? ALCOHOL SOLD? ALCOHOL CONTACT PERSON ALCOHOL PHONE FOOD AT EVENT? FOOD PREPARED AT EVENT? FOOD SOLD? FOOD CONTACT PERSON FOOD PHONE IF FOOD IS TO BE PREPARED, WHERE IS IT BEING PREPARED? DRAWING, RAFFLE, OR CASINO? CASINO? DRAWING CONTACT PERSON DRAWING PHONE SOUND AMPLIFICATION TO BE USED? OUTDOORS? INDOORS? HOURS OF USE AMPLIFIED SOUND CONTACT PERSON ON SITE APMLIFIED SOUND CONTACT PERSON PAGER PHONE DESCRIBE SOUND EQUIPMENT (MAXIMUM DISTANCE AUDIBLE IS 150 FT BY CANOPIES OR TENTS? SIZE (ATTACH PLOT PLAN) DATE INSTALLED DATE REMOVED BY BOOTH, BLEACHERS, STAGES OR STRUCTURES BOOTH DESCRIBE SIGNS OR BANNERS TO BE USED? BANNERS DESCRIBE GENERATORS, LARGE VEHICLES, BOATS, OR OTHER EQUIPMENT? GENERATORS DESCRIBE ANY COMMERCIAL ASPECTS? COMMERCIAL ASPECTS DESCRIBE COMMERCIAL FILMING? OTHER COMMERCIAL ASPECTS? WEDDING CEREMONY. FOOD, BAND. N 1 0 CHRIS MORAN 949-644-5404 1 1 0 CHRIS MORAN 949-644-5404 CLUBHOUSE KITCHEN 0 0 1 1 0 5:OOPM-10:OOPM SHERRI GRAFF 310-922-5671 SPEAKERS FOR BAND 1 07/22/2016 0:00 07/24/2016 0:00 SIGNATURE PARTY N N 1 WHISPER GENERATOR FOR BAND/LIGHTING 0 N ADDITIONAL INFORMATION PERMIT LEVEL BIKE/FOOT RACE SURF CONTEST CI'FY OF i\IEWTORT H&ICH REVENUE DIVISION k��PQRr 100 CIVIC CENTER DR • P.O. BOX 3768 NEW PORT BEACH, CA 92658-8915 (949)644-3141 x. RevenueHelp@newportbeachca.gov .W bttp://wivw.newportboachca.gov/Revenue C�ZrFOR�'�P SPECIAL EVENT TEMPORARY BUSINESS LICENSE TAX APPLICATION OFfiCE USE: ONLY BUSJNESS NUMBER LICENSE NUMBER The event organizer and all businesses affifiated with a permitted Special Event in the City of Newport Beach are required to pay a Special Events Temporary Business License Tax. The event organizer shall provide Revenue Division with a roster listing each vendor, exhibitor or -other-event service, provider involved in its Special Event as part of its Special Events Permit Application. The event organizer shall collect the Special Events Temporary License tax from each vendor, exhibitor or other event service provider and remit the payments to the City prior to the event date. Should the organizer or participant in the evert already hold a valid Newport Beach Business License Tax Certificate, the organizer is not required to collect or submit a tax payment for that particular participant. However, that participant must still be listed on the roster. If the event organizer fails to provide the roster, each individual vendor, exhibitor or other event service provider may be required to pay the full amount of the apportioned business license tax rate. Please complete the Special Events Temporary Business License roster and submit with the tax payment. If -you require more information, please call 949-644-3141. PLEASE PRINTCLEARLY IN BLACK INK. ILLEGIBLE APPUCA-nONS WILL BE RETURNED. 1. Event Name ay)6k maeinuun 30 Iamclers� 2. Location Address CCAWO 3. Event Organizer Phone # *3} ga ..3-' � 4. 5. Event Organizer Mailing Address 1 [L City, State, Zip: S. Web Site Address G��U (� C. 7. Event Start Date In Nev,;1 rt Seac 1 8. End Date in Newport Beach 9. Type of Event (\�91�6 nq 10. Event Organizer Contact Person c'.Q9i 11. Total number of vendors, exhibitors or event service providers x $21.00* = Total Amount Due )649-e checks payable to City of Newport Reach. These rate., are valid from July 1, 2013 through June 30, 2014 15. 1 hereby certify under penalty of perjury that I am authorized to make this statement and the information provided on this application is true and correct 1 also certify that 1 have read and u nde t this application. ku Appilcure Da a Applicants Name (Printed) Title *Amount includes $1.00 State Mandate Fee. on September 19, 2012, Governor grown signed SB 1186 Into law. This Bill adds a mandated state fee of $2 on any applicant for a local business license or renewal. The fee is to increase disability access and compliance with construction related accessibility requirements and develop educational resources for businesses in order to facilitate compliance with federal and state disability laws. Under federal and state law, compliance with disability access laws is a serious and significant responsibility that appliesta all California bullding owners and tenants with buildings open to the public. You may obtain information aboutyour legal obligations and how to comply with disabilityaccess laws at the followingagencies: The Division of the State Architect at www.dgs.ca.gov1dsa/Homeas The Department of Rehabilitation at w w.rehab.cahwnet.eov The California Commission on Disability Access at vnvw.ccda.ca.aov. 2012-12 SPECIAL EVENTS TEMPORARY BUSINESS LICENSE ROSTER Event: Event Organizer Name: Date of Event: Event Organizer Phone # Event Locatlon: Event Organizer Email List all vendors, exhibitors, service providers and trades, affiliated with the Special Event. (Bands, DJ's, Coordinators, Photographers, Caterers, Security, Cleaning Crews, Party Rental, Bounce Houses, etc.) Please refer to back side for all vendors. Please use additional sheets if necessary SERVICE PROVIDERS BUSINESS NAME PHONE Incl. Area Code CONTACT NAME NB BUS LIC # Announcer Bleachers Bounce House Caterers 'AQ Cis-1U&-ttnc. = -- Contractors Coordinators -I\L\ EntertainerslPerformers Equipment Rental Generator/Electrical JanitorialMaste Disposal Mobile Ice Services Party Rentals S, Q. 1 --t a Photographers/Video oS Portable Toilets Secudty Stages TentsiCano les S W Timing Company Traffic Control Valet Parkin Other Other Other Other Other APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT 1JFE SAFETY SERVICES DIVISION THSTMfERMIT bA92EN vE0 ne b Fire Lment e /)e)sj Md DAT��., fwrww.r..�rr.�r 7Busines!me: Signature Party Rentals Applicant Name: 954-2636/ cell #562-243-1261 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: I• Event Name: Island Hotel at Lincoln Experience Center- c# 173518 Event Address: 401 Newport Center Drive, Fashion Island, Newport Beach Ca 92660 Event Date: 7/23/2016 Event Time: 7pm I No of Attendees:, 150 guests approx SPECIAL EVENT PERMIT INFORMATION (A site plan is required for .below) ❑ Tents and Membrane Structures Size of tents) n a In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 10 GALLON; CONV OVEN Liquefied Petroleum Gas (LP -gas) Size of tank(s) Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n a ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) W $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection Burin non-contiguous normal business hours, weekend or holiday, 2 hour minimum ADMINISTRATIONFIRE ❑ Special Conditions of Permit Apply, '*(See Attached) Invoice No: FS5400 Customer No: V ► y� Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2075. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.lLifeSafetyServiceslForms/Application for Temp Permit - Special Event (09-22-15) City of Newport Beach Fire Department Special Event Propane Cooking and Heating Conditions Event: Island Hotel at Lincoln Experience 7/23/16 401 NCD 150 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time �yi,¢,c QT.L�LIE pr,-; riE -�. .�Ssinraa?4mga-Ca:erc r :G.@:�(t^-eACsNuts - '� AP —In EzQePrnce Centtt x her-ti'zM $ https://vAvw.google.com/maps/place/Lincoln-Experience+Center/@33.6136644, 117.8746418,125a,20v.4L74Vdata=!3mI1e3i4m5!3m451sOxO:Oxf87fea6glOd4Ocabt8m2!3d33.6156982[4d_»2.R25a3aRlKmlllPl d'r il. hm aw .1, APPLICATION FOR TE NPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 10DCivic Center Drive, Newport Beach, CA 92'.680 (9" 644-3106Fax (949) 644-312D NEWPORT BEACH FIRE DEPARTMENT �%pr'*3'jT'* BY 7Businesisme: Signature Party Rentals Applicant Name: 545-6777 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Contact Name: •• kwalm Event Name: Lincoln Experience Center - R#69877 Event Address: Fashion Island, 139 Newport Center Drive, Newport Beach CA 92660 Event Date: 8/13/2016 Event Time: 6pm-9pm F—W of Attendees: 50 SPECIAL•• • site plan is required tbr all permits, except candlepermifs. Fee applies to each inditfidualPermitas marked belovO ❑ Tents and Umbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event, Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. © Liquefied Petroleum Gas (LP -gas) Size of tank(s) 10 gal Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures No. Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES LI $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). lid $159.00 — Inspection during contiguous normal business hours (1 hour minimum): Ins ection during non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY pecial Conditions ofPeadtA pply,-(S ee A Vached) Invoice No: FS5400 Customer No: 91 R ates changed per newMasterF ee S chedule adopted by R esolution Na 2015-76 on S epten ber 22, 2015. Able: Effective Fire Permits are not transferable. lfbusiness sold, orifquanfiges orprocesses change, a new Flennitis required. F:ICireSaretyServicesTomsApplicadonforTenQPera t-SpeaalEvent(09-22-15) fjqE .., , »...r , , i ���..�-�+w.-..++wr+r�++.w.rmow...w..�wr.-..--�wa.w..�t+.m.�..w+ F City of Newport Beach Fire Department Special Event Permit Conditions Event: 8-13-16 @ 6:OOpm — 9:OOm Lincoln Experience Center Fashion Island 401 Newport Center Drive 50 Guests Propane Appliances: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Heating equipment shall not be located within 10 feet of building exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Ala t APPLICATION FOR TEMPORARY PE R MT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100Civic Center Drive, Newport Beach, CA 92SED (949) 644-3106Fax (949) 644-3120 NEWPORT BEACH FM DEPARTMEW n Al s�Fwff#f m► represent. . By. �- • • • 1 • : • , , • • • • 7Busines!mName: Signature Party Rentals Applicant Name: e: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Amanda Reeve (Pelican Hill) Contact Name: MM 61 Event Name: Fryer @ Coliseum Pool - C#175207 Event Address: Resort at Pelican Hill (pool), 22701 S Pelican Hill Rd., Newport Coast 92657 Event Date: 8/18 Event Time: 10am I No of Attendees: fluctuates, pool guests SPECIAL EVENT PERIVIT •• • (A site plan is required forallpery4ts, exceptcandleperTrits. Fee applies to each individual Pen?ftasrwrkedbefoW ❑ Tents and Membrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. IN Liquefied Petroleum Gas (LP -gas) Size of tank(s) 10 gal Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY ❑ Special Conditions ofPermitA pply, **(SeeA ttached)slogo< Invoice No: FS540D Customer No: Rates changed per newMasterF eeS d7edule adopted byR esolution Na 2015-76 on Septern► w2Z, Z075. Able: Effective Fire Permits are notU-ansferable. If business sold, orifquantities orprocesses change, anewPermitis required. f: Z ifeSaretyServicesformsAl pplicauon f rTerrpPermit-Special E vent(09-22.15) City of Newport Beach Fire Department Special Event Propane Cooking and Heating Conditions Event: Pelican Hill Fryer 8/18 — 8/19116 22701 Pelican Hill • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time 0 0 � v J Vi O 0 v a � 00 T FRENCH FRY STATION w! DEEP FRYER In Honor of the Wendt & Lusich Friday, August 19, 2016 6:30pm -10:00 pm Newport Mar Vista Promenade ti APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY �SE VICE rD�lgV{SON TH Slg by �re�ar�t�'LsiS1 BY NNr�I�.rlr�� DATE --7 7Busines!"Name,: Signature Party RenataiS Applicant Name: ne: 714.90.6501 Address: Email: kplummer@signatureparty.com Email: Contact Name: Kara Plummer Contact Name: Event Name: !s PhqFieF ow Event Address:1131 backbay drive , Newport Beach CA 92660 k(ewPnO-7- TO, ae�_ Event Date: 8/19/16 Event Time: 11:30 am No of Attendees :240'not all in canopy` less than 100 In the tent at one time SPECIAL EVENT PERMIT INFORMATION (A site plan is required forallpermits, except candle permits. Fee applies to each individual Permit as marked below) Ki ents and Membrane Structures Size of tent(s) 40 X 40 X 8'H n excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10-- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise'► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tanks) n/a Quantity of tanks n/a ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a Annual Permit Expiration Date ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) W $140.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $156.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION It Special Conditions of Permit Apply, **(See Attached) Invoice No: Customer No: gib New Master Fee Schedule adopted October 22, 2013 per Resolution No. 2013-72. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.•ILifeSafetyServiceslForms/Application for Temp Permit- Special Event (11.07,13) Cif -7 City of Newport Beach Fire Department Special Event Permit Conditions Event: August 19, 2016 Balboa Yacht Club Governor's Dinner Newport Dunes 1131 Back Bay Drive 240 Total Guests Max Occupancy for the tent is 100 persons TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • The width of aisles in occupancies without fixed seats shall be provided as follows: ■ The minimum clear aisle width shall be 36 inches where seats, tables, counters, furnishings, displays, and similar fixtures or equipment are placed on one side of the aisle only. ■ The minimum clear aisle width shall be 44 inches when such fixtures or equipment are placed on both sides of the aisle. GENERAL INOFRMAION: • Do not exceed Maximum Occupancy in the Building or structure. • Do not obstruct exits out of the building or structure. • Do not obstruct Fire Department access. • If solid fuel (wood logs, wood chunks and/ or pellets) is being used for cooking. You shall place the hot coals or embers in a metal can with a closing lid or cool the embers before placing in rubbish can. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. 4 II C n LL paArS, a�7� ` c a�9�o ro 0 c9 0 O LL C Z p 0 X O 4 n 4 o aoQ a D D Room name: Newport Dunes Kristi Prepared By: Kara Prepared On: 07/14/16 12:12:34 Ceiling Height: 10.0 ft Occupancy: Remarks: 0 300 lb cement base secured with canopy Rope FE ' NSS - No Smoking Sign, Battery Exit Sign and Fire Extinguisher EXIT *This Canopy has no Side Walls* FE NSS CJU 1 Event Location: Newport Dunes 1131 Backybay Drive -Pavilion C- Newport Beach CA 92660 Event Delivery: August 18th Event Date : August 19th at 11:30-5pm Event Pick up: August 20th + F' :; , e' i' •.'�a \ i;LQi$t?.x!'L'LiRi�O. i'.�FiC��l�ciltii,l'{:tt'+Lc�� -. � r F12229 TaCg€ a'r6a a Avinlog C�a 4i?•7 a, Taaat}%t%aj iYasi'ltiiatan Tir% is to oerti that the matoriats described b alovr have b�igii Vam�,,ratarda►��i�a�e�l.���` inhoa°entRy nontlanunable). , For: Sic nature Party— � _ Ad res°M 2�11f South Susan Sfre�t:" » P�eniai �dtl�esaY City, Santa Ana State "ZIP: CA 92704 rartificatian is hereby made that: (Cheol� "a" or "W ) , The atticlea described betow have been treatedulth a f amo-i-et rdantctemica[ OPOrc�4d * registered by file State Firs Marshal 4od thAt thd ep �ic�►i�c�� �a�-e��f �3�Gt��c�t =�r�� dorz� fin, � . conformance viM the lays QUthe State of California anlitne twee and��c s7atiez�s ssi�af�ia FIM Marshal. Name of chemical GfZeaxt..l��c�is �ti star, ' Mothcd-ofApplication i✓ th3 The arthAes desoribed below are made froth a fSatn� z tsFaot % n�a€�rl�t gistered an d approved by thy' for -such u 'trade name of'flamo-resis'tantfabric HerculiteZ--P blbletti � E122,29 lop A $: Wffl� not be y WRSW.' Danret Brovim; �xtzs'rlaat�, , .NIQ . g y �S1�F�trai �rsr�ii�ac�icirr"Sugrsri�?�rri . , , _ x . {2) 40x20 ;ti/aHip ,Ends , z 01/08/2015 16:53 — — . 15629089466 - CONVENTIONAL TENTS PAGE 01101 12EC�ISTERED ISSUED BY manufacture4l APPLICATION conventional Tents & Awnings CONCERN No. 6416 Western Ave. Whittier, CA. 90606 ��gp���ies h P f-3bb.Q2 P.3ns.os is described below have been flame-retardant treated (or are inherently nonflamabie) This is to certify that the mat®ritl Fa Addres8_ .. " City _ State_-^—�— n (A) Certification is hereby made that; (Check "a" or "b" ri L—� The grticles described below on thisllcatiioln of sold d oata e been treated was dalne nfconformance nwith ethe iGawscal ao the State afPProbed and ro Ilifomla the State Fite Marshal and that the app tend the rules and regulations of the State Fire Marshal. Chem.Reg.Na,� Ncime of chemical used Method Of application— The articles described below are made from a flame -resistance fabric ar material registred and approved by the State it® � (B) Marshal for such use. PVC vinyl e No._ F-306.02 Trade name of flame -resistance fabric or matedat will Not Be12�mOved}/ �Washing The Flame Retardant PrOCe55 Used wI11rl NIA t111e HnM6 of Applleeier or Plop -&+Ion 8vp9f1n1And*n1 CUSTOMER ORDER No.• �_ CUSTOMER INVOICE No. YARDS OR QUANTITY. COLOR srnE DATE PROCE560—^ AS APPLICATION FOR TE NPORARY PE R MT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 926M (949) 644-3106Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SERVi ES DIVISION ned ' y sl' rtment BY: DR-f>—R... 1_&_ _.�... LI ILI Business Name: Signature Party Rentals Applicant Name: Phone: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Harden Contact Name: •• !Is • Event Name: LEK Consulting - Newport Dunes Event - R# 69468 Event Address: Newport Dunes Resort - Pad C, 1131 Backbay Drive, Newport Beach 92660 Event Date: 8/22/2016 Event Time: 4pm I No of Attendees: 60 SPECIAL EVENT PERIVIT INFORNATION siteplan is neqtfired• penrits, exceptcandle .- r. ...au each inditfidual'a belovo ❑ Tents and Nbmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking' signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) 5 gal Quantity of tanks 3 tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas Tueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) © $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Inspection durin non-contiguous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY Special Conditions offt mit/l pply, -(SeeA ttached) Invoice No: FS540D Customer No: 0W-V Rates changed per newMasterFee S chedule adopted by esoMon Na 2015-76 on September22, 2015. Note: Effective Fire Pennits are not transferable, lfbusiness sold, orifquantities orprocesses change, a new Pennitis required, k k ifeSafetyServicesf omwA pp#cation for Teap Permit- S pedal f vent(09 22-15) City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: 8-22-2016 LEK Consulting Newport Dunes Resort 1131 Back bay Drive- Pavilion C 60 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time I uj 0 Uzz :01 CD z 22 uj 00 19 sj J w H 0 d Z Q J T z 4 J Q pv04,,.a g r e u `1 _ , _ �" �• _ -,.� . �� :. � ��� t d i 1 q a c t APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT WACH FIRE DEPARTMENT r�re.s Fve. • [41.110111111110] • 1 , • l . • 1 • i • lBusines! Name: Signature Party Rentals Applicant Name: hone:714-954-2636/ cell #562-243-1261 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: Main Electric- 8/24; Rod Carew- 8/29- C# 175505 Event Address: 22701 Pelican Hill Road South, Newport Beach CA Event Date: 8/24 & 8/29 Event Time:all day J:No of Attendees :150- 210 SPECIAL EVENT PERMIT INFORMATION Permit(A site plan is required for all permits, except candle permits. Fee applies to each individual •d below) 0 Tents and Membrane Structures Size of tent(s)4 0' X 80' In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tanks) n/a Quantity of tanks n/a ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum); Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION ❑ Special Conditions of Permit Apply, **(See Attached) 0.� , Invoice No: FS5400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution No. 2075-76 on September zz, ZU75. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F. ILifeSafetyServiceslForms/Application for Temp Permit - Special Event (09.22-15) City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 8/24 — 8/29/16 Main Electric 8/14 and Rod Carew 8/29/16 22701 Pelican Hill Road South 150/201 Guests TENT: • Inspection required on all tent permits. Inspection fees apply, call when ready for inspection. • Post occupant load • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured. Open flame or other devices emitting flame, such as candles, are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Client: Location: Room: Prepared On: 08/22/16 16:44:34 Event Name: Date: Time: Prepared By: Signature Party <— PRO SHOT 40'x 80' Maxi <— 80' white sidewall—> <— no sidewall- all open —> Install: Am 8/24 Requested inspection 3pm-4pm 8/24/2016 Event 8/25 all day & 8/29 all day Strike 8/30 7am-8am n e m 0 A m 3 v v N O L v Golf Pavilion FE= FIRE EXTINGUISHER & NON SMOKING SIGN EXIT= BATTERY BACKUP EXIT SIGN —> parking structure Diagram created using Room Viewer®. O 00 E 37 W 5 CD n rr Ul OTAWE Al EM x ti Q .S' O O y O u W E'�, W b O i 00 N a1 1i 0 O� CD V 1 PO CD a cr V1 W O I C>(R O � � o s coo A r0 CCD ti y A � l77 (� 121 O �z c P N d C F N Q. 4151 4rf1 LWI t" 03112/2013 11:14 15628089466 CONVENTIONAL TENTS PAGE 01 eltm a or 15sU1wi? 6Y Q wc+ ap REGISTERED manufactured APPLICATION Conventional Tents & Awnings- " CONCERN No. 6416 western Ave. March ia7 s ! Whittier, CA. 90606 F•306.02 ETP F-3A G2 This Is to certify that the materials described below have been flame-retardant treated (or dre inherently nonflarnable) 2Z11 s suson -St. For Signature Party Rentals Address $tat8 CA 92704 City Santa A—�— i ` 1 (A) Certification is hereby made that, (Check, "a" or "b° obed.and regl LJ The articles describad below on this cerirnaate have biom treated with a flarnagi$ardant Ch?rnicai aI - ►>V the state Fire Marshal and that the application of said chemical was done In conformance with the laws 6f tie, stO Of California and the rules and regulations of the State Fire Marshal. ' Name of chemical used Chem,Reg.No�_ Method of applioatlon The articles described below are made from a flcime•resistance fabric or material red t'C( 41nd bpproyed by the stall Marshal for Such use. Trade name of fiame-resistance fabrc or mate l use — The dame Retardant Process Used Be Removed By Wdshi6g VAN of W@ Nei By Jesse Ramp esae ama tes en *' Numo of APPU"f«a Fmdv Imb '*"M*ndcrd title CONTROL No. CUSTOMER ORDER No. CUSTOMER INVOICE No. YARDS OR QUANW _ ZZQ4 KdS COLOR mite_ DATE PROCESSE' arch 2013 T - 20 x 40 Canopy Tap P'ax To:CCifT bete: , ...... 3 - .-Y,... _...,,. No. of,Peges:-- —� CA N CA 1 ` ` (D CL D cozcx C t O t my^....... Z �vita `qNT 4 � C/) yM-C call y_ �m a a :ii y -i CD;�. (D o m 2 m as Tv y ate° w ono m a co iRm m o m � r cn� off? mo �G(D ?a r o g 5-N �, m a N ID0 4.�Q:L7 < O fD ono o�c m o cn v �' mm co Cr CD n 3sZ. o(DC� 3 CA Ao3M o N D( r-v ;MCD N c�j C � -41 o o Q) �7-�ON C ry m O n.� T we=i3 - v im°=.CD w c°'i g� m -om m ?i3-" Qcaoo o egg 5 U) ,- a a- ff M m m fin. A ca r --00 3 o C. o ID -n " c2 of Di —o' Z m z c' -nm v oCD �aC nv w mom co -� o :3 � fl. (� c°1D� co CD ID O R v' In S CD _ CD ti N Q y 0 ci a �• v N j m d Ll Certificate of Flame Resistance ISSUED BY Registered No Manufactured Date F122.29 Tacoma Tent & Awning 2.7.12 Tacoma, Washington (253) 627-4128 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). For: Signature Party Addressi: 2211 ' South Susan usan Street k6nfg Adjress2: City: Santa Ana State, Zip: CA 92704 Certification is hereby made that: (Check "a" or "b") (a) Tice articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of Chemical Method of Application Chem. Registered No. WO ti�i The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric Herculfte S-83 b/o Tent F122.29 I Top I Registered No The flame retardani process used wifl-notbe removed by washing. Darrel Brown By Josh Shanahan Name of Production Superintendent Description: (2) 40x20 blo Hip Ends s&b(A&E) (4) 40x10 blo mids s&b (A&E) Serial Numbers: Michael, Steve From: Heather Harden <hharden@signatureparty.com> Sent: Monday, August 22, 2016 4:52 PM To: Morris, Nadine; Wun, Raymi; Michael, Steve Cc: Perrin Chamberlin Subject: SIGNATURE PARTY RENTALS -RESORT AT PELICAN HILL_ NEW TENT PERMIT REQUEST FOR RESORT AT PELICAN HILL- 8/25 & 8/29 events (install and inspection 8/24 Attachments: 40x10 maxi mids white-2012.JPG; 40x20 Maxi ends white-2012.JPG; 40' Maxi ends & mids-2011.JPG; Main Electric Diagram - Registration.pdf, Main Electric Diagram - Dinner.pdf, PCRF-Rod Carew Diagram - Registration.pdf, PCRF-Rod Carew Diagram - Dinner.pdf; flame cert for leg drapes & LINER.pdf; FLAME CERT-WHITE TENT AND WALL - 2013.pdf, overview layout.pdf, Google overview jpg; Application for Temp Permit to Operate- 8 25 & 8 29.pdf Sorry, forgot to attach application! Hi Team NBFD- I hope you are doing well today. I have a new tent permit request this for week. We are installing this one this Wednesday 8/24 in the am, and would like inspection somewhere between 3pm-4pm if possible on that Wednesday afternoon. They are utilizing the tent for two events; one time on 8/25 for Main Electric & another time on 8/29 for Rod Carew. We will be putting up the canopy one time & not taking down or altering it in anyway. ... I have attached the flame certificates for the top, sidewall, and leg decor. I have also attached the layout for each client for each day. Please review and let me know if you have any questions. Sincerely, Heather Harden Signature Party Rentals ** PLEASE NOTE: My new direct line is 714-954-2636 Main line: 714-545-6777 Fax: 714-545-9713 C.O.D. Policy Method of payment accepted; Visa, American Express, MasterCard, Discover, Cash or Check. Checks must be received 10 working days prior to scheduled delivery. Cash/Check payments will require a credit card to secure equipment. Cancellation Policy APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SERVICES DIVISION THINAI 'y i rt Uep�tFi�11`D BY ^r p , DATE,qe� Z�-I/o 7Busin7esName: Signature Party Rentals ApplicantName: 954-2636/ cell #562-243-1261 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: Big Canyon Country Club- R#70231 Event Address: 1 Big Canyon Drive, Newport Beach. CA 92660 Event Date: 8/25/16 Event Time: 6pm 1 No of Attendees :50-75 PERMITSPECIAL EVENT INFORMATION (A site plan is required for all permits, except candle permits. Fee applies to each individual Permit as marked below) ents and Membrane Structures Size of tent(s) 30'x30' no sidewall In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tanks) n/a Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candles n/a ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) 0 $142.00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 -Inspection during contiguous normal business hours (1 hour minimum): Ins ection during.non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION Special Conditions of Permit Apply, **(See Attached) Invoice No: FS5400 Customer No: Rates changed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. FlLifeSafetyServicesIForms/Application for Temp Permit - Special Event (09-22-15) City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: 8-25-2016 30' x 30' Tent Big Canyon Country Club One Big Canyon Drive. 50-75 Guests • Inspection required on all tent permits. Inspection fees apply. • Post occupant load • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs are required • Illuminated Exit Signs are required • Emergency Lighting • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured. Open flame or other devices emitting flame, such as candles, are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • Table and chair spacing: ■ Eight feet table edge to table edge shall be provided when an aisle serves seats on both sides. ■ Six feet table edge to table edge shall be provided when an aisle serves seats on one side only. • The width of aisles in occupancies without fixed seats shall be provided as follows: ■ The minimum clear aisle width shall be 36 inches where seats, tables, counters, furnishings, displays, and similar fixtures or equipment are placed on one side of the aisle only. ■ The minimum clear aisle width shall be 44 inches when such fixtures or equipment are placed on both sides of the aisle. ■ Where the occupant is seated to the point where the occupant has a choice of two directions of travel to an exit. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. r-� Client: Location: Room: BIG CANYON COUNTRY CLUB- FIRE PIT AREA BY POOL Prepared On: 08/23/1612:48:55 Event Name: Date: Time: Prepared By: Signature Party Fire pit will be off & key removed. TENNIS COURT IRSE 03/12/2013 11;14 15629089466 CQNVENTICINAL TENTS RAGE 01 a� f �rrxl� Olt�Iil&r. Sir fUED BY 0tre 0 or REGISTERED Conventional Tents & Awnings manufactured * x APPLICATION CONCERN No 641 E western Ave, March 2019 Whittier, CA. 90b06 Qsj� pQ F-306,02 ET F 9MQ2 This Is to certify that the materials described below have been flame-retardant treated (or are inherently ntinfighlb ale) 2211 S Susan St. For Signature Party Rentals Addre-S city Santa a $tote CA 92704 (A) Certification is hereby made that; (Check "a" or "b" obed and regfsi L„ .1 The articles described below on this Certificate' have been traated with a fta='ret�tManf chemical appr by the state Fire Marshal and that the application of said chemical was done in oonfotmance with the laws. of tht-Stdt0 of California and the rules and regulations of the State Fire Marshal, ' Narne of chemical used Chem,Reg.No Method of application The articles described below are mdoe from a flame -assistance fabda or material tegistred,qnd;appfoved by the State Tl tgf Marshal for such use. L, J Trade namo of flame -resistance fabric or mat dal us® PVC Vlnyl Req.No- F-306.02 The Fume RetOrdant Process Used Be Removed By Washing Not WIA or WB ?"Al f3Y Jesse ROMO esse Qm0 re5 9n Namo o(Mpl"lora ProdvMron M*Adl ndard title — CONTROL No. CUSTOMER MER No CUSTOMER INVOICE No. YARDS OR 6tUM0W s COLOR+ite. STYLE DATE PROCESSED arch 2013 T - 20 x 40 Canopy Top fax To. �cC7fi' _ From., Fula::...,._._ No. of Pages:.__ t \4 APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT LIFE RVICES�taDIVII�SION TH r�ear� n I'\ e. BY DATE: 7Busines! Name: Signature Party Rentals Applicant Name: one:714-954-2636/ cell #562-243-1261 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: �• Event Name: Long Term 9/27-10/25 EventAddress:22701 Pelican Hill Road South, Newport Beach CA Event Date:9/29, 10/4, 10/15, 10/17, 10/18 & 10/24 Event Time:am reg, pm dinner No of Attendees :150- 210 INFORMATIONSPECIAL EVENT PERMIT (A site plan is required for all permits, except candle permits. Fee applies to each individual Permit as marked below) W Tents and Membrane Structures Size of tent(s)4 0' X 80' In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. El Liquefied Petroleum Gas (LP -gas) Size of tanks) n/a Quantity of tanks n/a ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) O $11A0 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection during non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION Special Conditions of Permit Apply, "(See Attached) �� V � Invoice No: FS5400 Customer No: tJ Rates changed per new Master Fee Schedule adopted by Resolution No. 2075-76 on September 22, 2U75. Note: Effective Fire Permits are not tra able. 1 usiness sold, or if quantities or processes change, a new Permit is required. F. I LifeSafetyServicesl Forms/Application for Temp Permit - Special Event (09-22-15) �. ._. ...� Mgt• i w .� i- , i C•. - x• f i .. i City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: September 29 & October 4, 15, 17, 18 & 24, 2016 Multi Event Tent @ the Golf Pavilion Pelican Hill Golf Course 22701 Pelican Hill Road South 150 - 210 Max Guests TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Tents shall not be altered or struck between events. If changes to the tent occur, please contact Life Safety Services at (949) 644-3110. • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. 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E T 1` G G V C C C$ N NCU- � U O t011Lin �"f-• ,� a CDmin J »° a�i<,�' cQ' co IQ) OW Co u Ux G o u im cts V ce m w `= L"° ca c°p Z �yo t06 } F� h Q °�' rn o a CD a N N cC6 f6 N lit .tz N > O co r Z U U Z (D Z) = Lu Q c � x 0)Tn yo ll tpi' Q) �rnoco c N to coo a n� m o m oroQ C° wCZ � rL ,k n � • V U U � L % W ry 0 iS N H � Q Z < LL Q V Y P�1 W co <( Z41 Who Q cn d r c*• N C- N Certificate of Flame Resistance Registered No. ISSUED BY Manufactured 5a11 F122.29 Tacoma Tent & Awning 2.7.12 Tacoma, Washington (253) 627-4128 inherently ronflammable). For: Signature Party Addressi: 2211 South Susan Rental Addresz2: City: Santa Ana State, Zip: CA 92704 Certification is hereby made that; (Check "a" or "b") (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of sold chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of Chemical Method of Application Chem. Registered No. The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric [He—rculite S-83 b/o Tent F1 22.29 Top I Registered No. The Rame-retardatit-p-racess usod-will riot be removedby X\1 Darrel Brown By Josh Shanahan. Name of Production Superintendent Description; (2) 40x20 blo Hip Ends s&b(A&E) (4) 40x1 0 blo mids s&b (A&E) Serial Numbers: Certificate of Flame Resistance ISSUED BY Registered No. Manufactured D Tacoma Tent & Awning 2.7.12 F122.29 Tacoma, Washington (253) 627-4128 inherently nonflammable). s For: Signature Party Addresi: 221 1_South.Susan Strpje xv Rental Addressi: IX, City: Santa Ana State, Zip: CA 92704 Certification is hereby made that: (Check OVI or "b") (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application Of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of Chemical Chem. Registered No. Method of Application The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric i Herculite S-83 b/o Tent F122.29 Top I I Registered No. �i 11111 11111%iligq I 111111ellple 11��zv Darrel Brown By Josh Shanahan Name of Production Superintendent Description; (2) 40x20 b/o Hip Ends s&b(A&E) (4) 40x10 b/o mids s&b (A&E) Serial Numbers: Wun, Raymi From: Heather Harden <hharden@signatureparty.com> Sent: Wednesday, September 21, 2016 1:15 PM To: Wun, Raymi; Morris, Nadine; Michael, Steve Subject: SIGNATURE PARTY RENTALS -RESORT AT PELICAN HILL_ NEW TENT PERMIT REQUEST FOR RESORT AT PELICAN HILL- 9/27 install : Events 9/29, 10/4, 10/15, 10/17, 10/18 & 10/24 events Attachments: 40x10 maxi mids white-2012.JPG; 40x20 Maxi ends white-2012.JPG; 40' Maxi ends & mids-2011.JPG; Google overviewjpg; SoCal Retirement Diagram - Dinner.pdf; SoCal Retirement Diagram - Registration.pdf, flame cert for leg drapes & LINER.pdf; LAYOUT.pdf, long term app 9 -28 thru 10 25.pdf Hi Team NBFD- I hope you are doing well today. I have a new tent permit request next week. This one is very similar to the last permit we did over at the Golf Pavilion. We are installing the tent next Tuesday 9/27 in the am, and then leaving it up for events on 9/29,10/4,10/15,10/17,10/18 & 10/24 and then removing it 10/25. We will be putting up the canopy one time & not taking down or altering it in anyway. May I request a 3pm or 330pm inspection appointment on 9/27? ... I have attached the flame certificates for the top and leg covers. I have also attached the layout for the first event. I do not have the subsequent layouts, but am happy to email them over as soon as I receive them. Please review and let me know if you have any questions. Sincerely, Heather Harden Signature Party Rentals ** PLEASE NOTE: My new direct line is 714-954-2636 Main line: 714-545-6777 Fax: 714-545-9713 C.O.D. Policy Method of payment accepted; Visa, American Express, MasterCard, Discover, Cash or Check. Checks must be received 10 working days prior to scheduled delivery. Cash/Check payments will require a credit card to secure equipment. Cancellation Policy Cancellation policy for orders under $1000.00 Any items cancelled 24 hrs prior to the delivery date are not subject to a restocking charge. A 50% restocking charge will apply to any equipment loaded onto the truck and in transit. No credit will apply to items that are delivered or setup. This cancellation policy excludes any special order items. Special order items will be �4 APPLICATION FOR TEMPORARY PE R MT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1000ivic Center Drive, Newport Beach, CA 926M (9" 644-3106Fax (949) 644-312fD NEWPORT BEACH FIRE DEPARTMENT UFE SAFETY SERVICES DIVISION THIS w�93 �s Fire Department BY: . Is Business Name: Signature Party Rentals ApplicantiVame:. Phone: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: Event Name: Pimco Lunch - R# 71777 Event Address: Island Hotel, 690 Newport Center Drive, Newport Beach CA 92660 Event Date: 9-27-2016 Event Time: 6pm No of Attendees :100 SPECIAL EVENT PERIVIT INFORIVATION (A siteplanis required forallpen4ts, except candle pendts. Feeapplies to each individual Perr4tas rnarkedbefoW ❑ Tents and I%mbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s)10 gal Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES 0 $46.00 - Candles (includes first time and special event) 0 $N,00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 - Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non -continuous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY —PISpecial Conditions ofPemrtA pply, IseeA ttached) [invoice No: FS540D Customer No: 6 R ates changed per newMaster f ee S chedule adopted by R esoludon Na 2015-76 on S eptember ZZ, Z07 5. Note: Effective Fire Permits are nottransferable. If sold, orifquand ies orprocesses change, a newPennitis required. F. f ireSaretySenricestrorms/A pplication for Tenp Pemrt- SpeclalE vent(09-22-15) (KI ( � City of Newport Beach Fire Department Special Event Propane Cooking Conditions Event: Donut Station at Island Hotel 9/27/2016 690 Newport Center Dr. Cabana Terrace- pool deck 100 Guests Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time W TO ry 3: U, 0 CL zw �w J (� T APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 926M (90 644-3106Fax (949) 644-312D NEWPORT BEACH FIRE DEPARTMENT UFE SAFETY SERVICES DIVISION THIS FMftMlTtHA$j3EMMPJXAW -. --sT-m ed Y Fi Department BY; T r DATE: Business Name: Signature Party Rentals Applicant Name: Phone: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: •' ITH111111• Event Name: Evening Event - Island Catering @ Fashion Island - C#178249 Event Address: Lincoln Experience Center, 139 Newport Center Drive, Newport Beach CA 92660 Event Date: 9-26-2016 Event Time: 5pm I No of Attendees :100 SPECIAL PERIVIT INFORMTION site plan is required for all pernits, except candle perrnits. F ee applies to each indhfidual' ennit as marked belovo ❑ Tents and Mmbrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s)1 O gal Quantity of tanks 1 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL ❑ $46.00 - Candles (includes first time and special event) 0 $1*0 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 — Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-contiguous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY Special Conditions ofPemtA pply, -(S eeA tlached) Invoice No: FS540D Customer No: V Rates changed per newMasterF ee S chedule adopted by x MUM Na zu15-1v on 3 epMrnoe1-zz, zu! 5. 11bte: Effective Fire Permits are not transferable, lfbusiness sold, orifquantities orprocesses change, anew Pennitis required. F.kireSare ffviceslro=ApplicadonrorTerrpPerrrit-SpedalEvent(09-22-15) .- City of Newport Beach Fire Department Special Event Propane Cooking and Heating Conditions Event: 9/26/16 at 5:00 pm Island Hotel at Lincoln Experience 401 Newport Center Drive 100 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection is required, please contact the Fire Department to arrange date and time • PERMITEE SHALL BE RESPONSIBLE FOR SETUP/LOCATION AND ALL REQUIRED METHODS OF BARRICADES TO SEPARATE THE PUBLIC FROM THE COOKING EQUIPMENT. ANY CHANGES TO LOCATION AND BARRICADES SHALL BE APPROVED BY THE FIRE DEPARTMENT BEFORE THE COOKING EQUIPMENT IS UTILIZED Fd r ;v F p n m h C N 'D J APPLICATION FOR TE NPORARY PE R MT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1COCivic Center Drive, Newport Beach, CA 926M (949) 644-3106Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT UFE SAFETY SERVICES DIVISION THIS 9114Mi t+%, 4eE"4l�i�Vl0 Si- d by I=' Department r a e. 9 Zf�-/6p DA�r'�i+��i Yrrr�Yw�Ya�.IM�U Business Name: Signature Party Rentals Applicant Name: Phone: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Contact Name: Event Name: Evening Event - Pelican Event Lawn - C# 178245 Event Address: Resort at Pelican Hill, 22701 S Pelican Hill Rd., Newport Coast CA 92657 Event Date: 9-25-2016 Event Time: 6pm L No of Attendees :100 SPECIAL EVENT PERIVIT • • ' • (A siteplan is required forallpernits, except candle peanits. Feeapplies to each individualPernitas rnarkedbelovO ❑ Tents and Nbmbrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls No. Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► No Smoking signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use i5 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) 5 gal Quantity of tanks 3 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.0p - Candles (includes first time and special event) 0 $1 00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $159.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non -continuous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY Special Conditions ofPerrritA pply, -(SeeA Meshed) Invoice No: FS540D Customer No: R ates changed per newMasterF ee S chedule adopted by R esolution Na 2015-76 on S eptember z2, 207 5. ate: Effective Fire Permits are not transferable, lfbusiness sold, orifquangdes or processes change, a new Permitis required. F: Z ireSaretyServicesT omsiAppiication rorTer►p Pernit- Spedat E vent(09-22-15) City of Newport Beach Fire Department Special Event Permit Conditions Event: 9/25/2016 @ 6:OOpm Resort at Pelican Hill 22701 Pelican Hill Road South Pelican Event Lawn- LPG Fire Pit 100 Guests Propane Fire Pit: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Heating equipment shall not be located within 10 feet of building exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. .t 11 �.; �L- NEWPORT BEACH FIRE DEPARTMENT LIFE SAFETY SERVICES DIVISION t fiti t Si d a men T3Y's,.•,r,•• r en tN 7B:u:sinesS` Name: Signature Party Rentals[Add Applicant Name: �L 14-545-6777 ress: S7P a --a Lf 3 — Email: pchamberlingsiegnatureparty.com Email: Contact Name: Heather - Pew Contact Name: -11 `'l ' cjSc f_ 2 &,9 I •• + • Event Name: Rehearsal Dinner c#177937 Event Address: Pelican Hill Golf Pavilion, 22800 S Pelican Hill Rd., Newport Coast CA 92657 Event Date: 9f23(2016 Event Time: 6pm I No of Attendees :110 SPECIAL EVENT PERIVIT •• + • (A siteplan is required forallpernits, except candle perrnits. Fee applies to each individual Pen4tas markedbelovO ❑ Tents and Nbmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls No. Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. N Liquefied Petroleum Gas (LP -gas) Size oftank(s) 5 gal & 10 gal Quantity of tanks (4) 5gal, (2)10gal ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) / K(APur,, I d Q .' FIZA- 4 3 ED c3 A SPECIAL EVENT FEES ❑ $46.0 Candles (includes first time and special event) 0 $1 .00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). El$ 59.00 — Inspection during contiguous normal business hours (1 hour minimum): Ins ection Burin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVIINISTRATION ONLY Special Conditions ofPerrnitA pply, I(SeeAtlacheri) ��0� Invoice No: FS5400 Customer No: Rates chanced oer newMastarFee Schedule adopted bvR esoludon Na 2015-76 on Sept► 22, 2015. Note: Effective Fire Permits are not transferable. Ifbusiness sold, orifquanddes orprocesses change, anewPermitis required. F: k ireSafetyServicesWoms/Applig8on for TaV Pernit- Special E vent(09-22-15) m e0 2 C a City of Newport Beach Fire Department Special Event Propane Permit Conditions Event: 9/23/16 at 6:OOpm Pelican Hill Resort Golf Pavilion LPG- 2 fryers, 2 fire pit & 1 BBQ 110 Guests a� Visible and Mounted Fire Extinguishers with Current Service Tags. o Smoking Signs at propane area. • No cooking in tents or canopies open to the public. 5 spa eta wl vc_�M— • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 20 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. Zookin area shall be cordoned off to kee eneral ublic awa from cookin eauioment and cookina tents. • Inspection by fire department personnel shall be required. Fees are charged accordingly. VI Z 7W APPLICKTION FOR i NEWPPOR"i' BEACH FIRE DEPARTMENT UEE 7HfS F� I I ER 11 WNR Y le ep e BY DATE:_ (" 1 ■ • 1 • • 1 • i i ■ • 1 i . 1 • • • • Business Name: Signature Party Rentals Applicant Name: Phone. 714-545-6777 Address: Email: pchamber[in@_signatureparty.corn Email: Contact Name: Perrin - Heather Contact Name: Event Name: Men's Fall Classic - C# 177633 EventAddress: Big Canyon Country Club, 1 Big Canyon Drive, Newport Beach CA 92660 Event Date: 9/23/2016 Event Time: lunch No of Attendees :100 fluctuates SPECIAL PERIVIT • 1 • (A siteplan is required forall pffnits, exceptcandlepen7its. Fee applies to each individual P074tas rnarked belovo ❑ Tents and Ntmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) 10 gal Quantity of tanks 1 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles No. Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46K9.0(0 0 - Candles (includes first time and special event) 0 $10 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $1 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non -continuous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY Special Conditions ofPa7dtA pply, -(SeeA Mwhed) Invoice No: FS5400 Customer No: Rates changed pernewMasterFee Schedule adopted byR esolution Na ZU75-7b on J eptenVerzz, ZU15. Note: Effective Fire Permits are not transferable. lfbusiness if uantities orprocesses change, a new Peimitis required. E: afe46micesWoms/Applip6onfor T&MPemit-SpedalEvent(09-22-15) City of Newport Beach Fire Department Special Event Propane Permit Conditions Event: 9/23/16 Men's Fall Classic Big Canyon Country Club 1 Big Canyon Dr. 100 Guests • Visible and Mounted Fire Extinguishers with Current Service Tags. • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • Inspection shall be required. Fees shall be charged accordingly. APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEV4POAT BEACH FIRE DEPARTMENT tHitlF�€, �S�Ilro J V e • OA•�. � — �Z %� �G j7MName: Busines!Signature Party rentals Applicant Name: e:714-954-2636/ cell# 562-243-1261 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: i• � i Event Name: MAGNETIC C# 177791 Event Address:22701 PELICAN HILL ROAD SOUTH, NEWPORT BEACH. EXEC TERRACE Event Date: 9/21/2016 Event Time: 5PM I No of Attendees: 50-75 GUESTS SPECIAL EVENT PERMIT INFORMATION (A site plan is required for all permits,rt candle permits. Fee applies to each individualPermit as marked below) ❑ Tents and Membrane Structures Size of tents) NSA In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. Liquefied Petroleum Gas (LP -gas) Size of tank(s) 5 GAL Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles NA ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles NA ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.0 Candles (includes first time and special event) 0 $1 0 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $1 9.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non -continuous normal business hours, weekend or holiday, 2 hour minimum FIRE ADMINISTRATION ONLY Special Conditions of Permit Apply, *`(See Attached) Invoice No: FS5400 Customer No: Rates chanaed per new Master Fee Schedule adopted by Resolution No. 2015-76 on September 22, 2015. Note: Effective Fire Permits are not transferable. If business sold, or if quantities or processes change, a new Permit is required. F.lLifeSafetyServicesIForms/Application for Temp Permit - Special Event (09-22-15) City of Newport Beach Fire Department Propane Heater/Cooking Conditions Event: 9/21/16 at 5:00 pm Magnetic Pelican Hill — Executive Terrace 22701 S. Pelican Hill Rd. 50-75 Guests LPG: • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured from tipping. If LPG used, permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopv, or temporary membrane structure. • Provide at least one 2A:1013C fire extinguisher at all cooking locations. • Outdoor cooking that produces sparks or grease -laden vapors shall be a minimum of 20 feet from tents. • An inspection by NBFD personnel must be performed and the cooking area approved before use. • No deviation from the approved plan or permit unless approved by NBFD personnel. • Temporary furniture, tables, chairs, heaters, fire pits shall not block the accessible and egress route. Maintain a minimum of 48" clear GENERAL SAFETY: • Do not obstruct exits from the building. • Do not exceed maximum occupancy. • Do not obstruct Fire Department access. • Do not obstruct any firefighting equipment. ,i 0 a N � i Ci N Ci O ir< jto�f-- r �y ® ti d W b cu O N W N h O� E N O 0 L I• e O O.ca N� Z � co NE APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 926M (90 6443106Fax (940 644-312D NEWPORT BEACH FIRE DEPARTMENT UFE SAFETY SE ES DIVISION T) � - . e�800ED signs y I^I Department re tip e DATE,?,_`[ " 7•• , •' i • C ,•• , •• ' • • C Busines! Name: Signature Party Rentals Applicant Name: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather / Perrin Contact Name: Event Name: Wedding Reception @ Mar Vista Terrace - C#177389 Event Address: Resort at Pelican Hill, 22701 S. Pelican Hill Rd., Newport Coast CA 92657 Event Date: 9/18/2016 Event Time: 6pm No of Attendees :160 SPECIAL PERIVIT INFORNATION (A sReplanis required forallpernits, except candle pen4& Fee applies to each individualPernitas markedbelovO ❑ Tents and I%mbrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs No. Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tanks) 5 aal Quantity of tanks ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.0 - Candles (includes first time and special event) 0 $ .00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $ 59.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY 41 Spew Conditions ofPamtA pply, '(SeeA =W) Invoice No: FS54M Customer No: S9 R ates changed per newMasterF ee S chedtde adopted by R esolution Na 2015-76 on S epietnber2Z 201 & Note: Effective Fire Permits are not transferable. Ifbusiness sold, orifquantities orprocesses change, a newPbrmitis required. F: t ifeSaretyServicesT orrmAl pplicadon forTaVPermit- S pedal E vent(09-22-15) .0 ' /City of Newport Beach/ Fire Department Propane Heater/Cooking Conditions Event: 9/18/16 Wedding Reception Resort at Pelican Hill- Mar Vista Terrace 22701 Pelican Hill Road South LPG: 160 Guests • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured from tipping. If LPG used, permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • Provide at least one 2A:10BC fire extinguisher at all cooking locations. • Outdoor cooking that produces sparks or grease -laden vapors shall be a minimum of 20 feet from tents. • An inspection by NBFD personnel must be performed and the cooking area approved before use. • No deviation from the approved plan or permit unless approved by NBFD personnel. • Temporary furniture, tables, chairs, heaters, fire pits shall not block the accessible and egress route. Maintain a minimum of 48" clear GENERAL SAFETY: • Do not obstruct exits from the building. • Do not exceed 104 occupants inside the suite/tenant space at any time. • Do not obstruct Fire Department access. • Do not obstruct any firefighting equipment. If , Im - W--'70 APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 926M (949) 644-3106Fax (946) 644-3123 3 Do I Business Name: SIGNATURE PARTY RENTALS Applicant Name: Phone: 714-545-6777 Address: Email: PCHAMBERLIN@SIGNATUREPARTY.COM Email: Contact Name: HEATHER/ PERRIN Contact Name: Event Name: Private Leisure FAM @ Mar Vista Lower Patio - C#177036 Event Address: Resort at Pelican Hill, 22701 S. Pelican Hill Rd., Newport Coast CA 92657 Event Date: 9.15.2016 Event Time: 7prn I No of Attendees : 50 SPECIAL•• • except(A site plan is required forall pern4ts, . -.- ❑ Tents and Nbmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2 A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. M Liquefied Petroleum Gas (LP -gas) Size of tank(s) 5 gal Quantity of tanks 2 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candies ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candies (includes first time and special event) © $14 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $1 9.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADIVINISTRATION ONLY ❑ Special Conditions ofPemitA pply, -(SeeA MXhed) Invoice No: FS540D Customer No: f Rates chanaed Der newMaster F ee S chedule adopted by R esoludon Na 2015-76 on S epten ber22, 2015. Note: Etfectrve Fre Permits are not transferable. Ifbusiness sold, orifquanfities orprocesses change, a new Pennitis required. F. i ireSafetyServiceslromaAl pplic adon forTerrp Permit- S pedal f vent(09 22-15) City of Newport Beach Fire Department Propane Heater/Cooking Conditions Event: 9-15-16 Pelican Hill — Private Leisure FAM 22701 S. Pelican Hill Rd. 50 Guests LPG: • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured from tipping. If LPG used, permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • Provide at least one 2A:10BC fire extinguisher at all cooking locations. • Outdoor cooking that produces sparks or grease -laden vapors shall be a minimum of 20 feet from tents. • An inspection by NBFD personnel must be performed and the cooking area approved before use. • No deviation from the approved plan or permit unless approved by NBFD personnel. • Temporary furniture, tables, chairs, heaters, fire pits shall not block the accessible and egress route. Maintain a minimum of 48" clear GENERAL SAFETY: • Do not obstruct exits from the building. • Do not exceed maximum occupancy. • Do not obstruct Fire Department access. • Do not obstruct any firefighting equipment. f 77 t d h qd }Z ` f } C t Y _ 4 _ - ([t i i { t3¢y ,. 0 L O J co -t\--p Cca G 0 co a� (1) E asp M W .1 r�y1 Fri � U O O N00 d- D< x b0 c - .N N N c ,ones* sit a ffi ism S � M� W If `s APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1000ivic Center Drive, Newport Beach, CA 921D (94) 644-3106Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTME= ,, LIFE SAFETY SERVICES DIVISION T R41-5--� sigBY: DATE:1--[,�.�p Business Name: Signature Party Rentals Applicant Name: Phone: 714-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: Ford Dealer Dinner - Event Lawn - R# 69192 Event Address: Resort at Pelican Hill, 22701 S Pelican Hill Rd., Newport Coast CA92657 Event Date: 9/13/2016 Event Time: 6pm IN:o of Attendees : 208 SPECIAL EVENT PERIVIT INFORIVATION (A siteplanis required forallpenrdts, except candle panits. Feeapplies h9 each individualPenr4tas rwrkedbeloW ❑ Tents and Nhmbrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 10 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) gal Quantity of tanks$ It ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 - Candles (includes first time and special event) *1 VO - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0$15�e— Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY Special Conditions ofPa7dtA pply, "(SeeA tiwW) 111"*16% Invoice No: FS54OD Customer No: 1111!�Fo I Rates changed per newMaster F ee S chedule adopted by R esolution No. 2015-76 on S epternber22, 2015. Note: Effective Fire Permits are not transferable. lfbusiness sold, orifquantities orprocesses change, a newPermitis required. F.,t ifeSafetyServiceslFom siA pplication forTenp Permit- S pedal E vent(09-22.15) City of Newport Beach Fire Department Special Event Permit Conditions Event: 9-13-16 @ 6pm Resort at Pelican Hill S. Pelican Hill Road Newport Coast Event Lawn- LPG 208 Guests Propane Appliances: • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs at propane area • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes • Heating equipment shall not be located within 10 feet of building exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or assembly building. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. Event Lawn a c«rde ford.concert02.9.13.16. Kitchen Talent Stage 160 seats in (14) 48" rounds of 6 (10) 30" rounds of 4 (4) fire pits of 8 OF 0 '.� Event Lighting &Sound i Ford Credit 2016 Dealer Concert Tuesday, Sept 13th, 2016 8:30pm - 9:30pm \0t APPLICATION FOR TEMPORARY PE R MT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 10DCivic Center Drive, Newport Beach, CA 926M (949) 644-3106Fax (949) 644-3120 7Businest" me: SIGNATUREPARTY RENTALS Applicant Name: ne:714 5545-6777 Address: Email: PCHAMBERLIN@SIGNATUREPARTY.COM Email: Contact Name: PERRIN / HEATHER Contact Name: MM Event Name: EVENING EVENT @ THE POOL - C# 176932 Event Address: Island Hotel, 600 Newport Center Drive, Newport Beach CA 92660 Event Date: 9/12/2016 Event Time: 6prn I No of Attendees : 50 SPECIAL•• • (A site plan is required forallpernits, except candle pernits, Fee applies lo each indiiddualPeanitas marked befovO ❑ Tents and Membrane Structures Size of tents) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- 13:C) with current service tag ► No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) 5 gal Quantity of tanks 6 ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks 0 Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) ClSPECIAL EVENT FEES $46.0 Candles (includes first time and special event) 0 $1 .00 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $ 9.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection during non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION ONLY O Special Conditions ofPerrrrtA pply, -(SeeA tiached) Invoice No: FS5400 Customer No: Rates changed per newMasterf ee S d7edule adopted by R esoMon Na 2015-76 on S epMmbf'22, 2015. Note: Effective Fire Permits are not transferable, lfbusiness sold, orifquandges orprocesses change, anewPermitis required, f: i ifeSafetyServimIFo tmA pplication rofferrpPanit-Special E vent(09-22-15) City of Newport Beach Fire Department Propane Heater/Cooking Conditions.. Event: 09/12/16 Island Hotel — Event at the pool 600 NCD 50 Guests LPG: • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • LPG containers shall be located outside and be adequately protected and secured from tipping. If LPG used, permit must be obtained from Fire Department. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. • Provide at least one 2A:1013C fire extinguisher at all cooking locations. • Outdoor cooking that produces sparks or grease -laden vapors shall be a minimum of 20 feet from tents. • No deviation from the approved plan or permit unless approved by NBFD personnel. • Temporary furniture, tables, chairs, heaters, fire pits shall not block the accessible and egress route. Maintain a minimum of 48" clear GENERAL SAFETY: • Do not obstruct exits from the building. • Do not exceed maximum occupancy. • Do not obstruct Fire Department access. • Do not obstruct any firefighting equipment. APPLICATION FOR TEMPORARY PERMIT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 100 Civic Center Drive, Newport Beach, CA 92660 (949) 644-3106 Fax (949) 644-3120 NEWPORT BEACH FIRE DEPARTMENT UF£ SAFETY SER ICES DIVISION THE 'Itt WD 5�ia e by F r Department BY: e s 7Bines Name: Signature Party Rentals Applicant Name: 14-954-2636/ cell #562-243-1261 Address: Email: hharden@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: Long Term 9/9-9/22 r# 70904 Event Address:22701 Pelican Hill Road South, Newport Beach CA Event Date: 9/12,15,16,19,22 1 Event Time: am reg, pm dinner No of -Attendees :150- 210 SPECIAL EVENT PERMIT INFORMATION candle(A site plan is required for all permits, except permits. Fee applies to• , .. 0 Tents and Membrane Structures Size of tent(s)4 0' X 80' In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A: 10- B:C) with current service tag ► `No Smoking signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. ❑ Liquefied Petroleum Gas (LP -gas) Size of tank(s) n/a Quantity of tanks n/a ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles n/a ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candles & Open Flames in Assembly Areas Quantity of candles n/a ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES 0$46.0ge Candles (includes first time and special event) W $14 . 0 - Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). ❑ $1 9.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holida , 2 hour minimum FIRE ADMINISTRATION 2 Special Conditions of Permit Apply, **(See Attached) �, J _/ Invoice No: FS5400 Customer No:S1 Rates changed per new Master Fee Schedule adopted by Resolution No. 2075-76 on 5eptemwr zz, zu15. Note: Effective Fire Permits are not tr iness sold, or if quantities or processes change, a new Permit is required. F. lLifeSafetyServicesl Forms/Application for Temp Permit - Special Event (09-22-15) City of Newport Beach Fire Department Special Event Tent Permit Conditions Event: September 12, 15, 16, 19 and 22, 2016 Multi Event Tent @ the Golf Pavilion Pelican Hill Golf Course 22701 Pelican Hill Road South 150 - 210 Max Guests TENTS: • Inspection required on all tent permits. Inspection fees apply. • Do not exceed posted occupant load inside building. • Visible and Mounted Fire Extinguishers with Current Service Tags • No Smoking Signs • Illuminated Exit Signs • Emergency Lighting • Tents shall not be altered or struck between events. If changes to the tent occur, please contact Life Safety Services at (949) 644-3110. • Exit doors are not to be blocked and are to remain accessible as exits when the tent is occupied. • All interior decorative fabrics or materials shall be flame resistant. Provide Certificates of Flame Resistance. • Bonding of chairs in groups of three or more is required when loose seats, folding chairs, or similar seating is not fixed to the floor, the occupant load is 200 or more, and tables are not provided. • Cooking and heating equipment shall not be located within 10 feet of exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors shall not be performed within 20 feet from a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside and be adequately protected and secured. • Open flame or other devices emitting flame are not permitted inside or within 20 feet of the tent, canopy, or temporary membrane structure. If a pre -event inspection or inspector stand-by services are required, fees shall be charged accordingly. ClientF Location: Room: Prepared On: 09/01 /16 17:48:59 Event Name: Date: Time: Prepared By: Signature Party <- PRO SHOP E EXIT Install: 9/9 7am-Sam window Requested inspection 3pm-330pm 9/9/2016 9112 ACOSTA TT BROOKS/UCI 9/15 OC FALL FIRE 9/16 CITY OF HOPE 9/19 40'x 80' Maxi Strriike TER 9/23 ENT 9/22 <— no sidewail- all open --> i d 0 ea A m a N G I <— no sidewall- all open —> EXIT n v Golf Pavilion FE= FIRE EXTINGUISHER & NON SMOKING SIGN EXIT= BATTERY BACKUP EXIT SIGN —> parking structure 7 03 .,.., Gn O 0 LJ �% .0 P-0 M Q* 4-o N 20: ' 7:7 _ .e-'.t+Y•=•:i-•}•�,; _',Y•hr4�`,, '`ii::f•+;: ';t's{: ,r , Ja J:i+ t ��,�`j`-y..i'. �� fY' • ._?.::, :,. ^F "`;�'%,, ;. :'r t sr•, % "+�i:c,.•« �.r."•�`� r:; • �. .: •+';f; : �Y' ::n.Y =-. �h'{t'. :J.' _ J` ``•'.:J' r. i,`,Y.S: • ,, =.7,'• ,�. ;; . � !: nLF'4= rxt'+'{..'�•; y,{�'. 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'4`` rl _` ptM .i �• .,_,• .. i•• .��• it .Y.r. is . . _ ... '.T.•� . _ .. _ . _ ... �;'......•.,.. §a:. _ ..._ -_ __ _ a y �a Is C Q. h i O Co U C _ U Q4.�iq Q o O N t to m d 6) cca Eco -C M U c C C/) bI p CO ca 4 tiU� J o»' Q -- LaL. 00 a to C ♦ w cO Z N t9 a 'ry o��Q Lu a) c a3 v r (n Cc: J 0 V- 'fl to c9 a C Oca ti E FccU urX o� =MjR- 'b Aq OEc)oJ N p — t0 'c.. .�CU q (D XlL 0N , CO ?� V x O �o o �� E v ca m y LL a-t6 W U: Z r [0 LU l.L i �• '� y Q P- m w O tt m CE5 m a) yi j � Ua'ON ZUUZ v �A) Ll�LO>C) x �� co co N •�?' Coo f6 N t6 Rf � O U o N Q o m 4� < m . C ♦ � U U U a tq U te p' W ry ~' iS N Q W cp ¢ ko�., D Z y u) N L����iis s 1ST F 11 Certificate of Flame Resistance ST Registered No. ISSUED BY Manufactured Gate F122.29 Tacoma Tent & Awning 2.7.12 Tacoma, Washington (263) 627-4128 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). For: Signature Party Addressi: 2211 South Susan Street_Rental Address2: City: Santa Ana State, Zip: CA 92704 Certification is hereby made that; (Check "a" or "b") (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Name of Chemical Chem. Registered No, Method of Application W (b) The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric Herculite S-83 b/o Tent _M29 Top 7 Registered No. IrIIIIIIIIII!IIII III III I I I I I I 111 11 IrIIIIIIIIIr Darrel Brown By Josh Shanahan Name of Production Superintendent Description; (2) 40x20 blo Hip Ends s&b(A&E) (4) 40x1 0 b/o mids s&b (A&E) Serial Numbers: Cert-ificate of Flame Resistance Registered No ISSUED BY Manufactured 61 F122.29 Tacoma Tent & Awning 2.7.12 Tacoma, Washington Rest 253)62-4128 (7 This is to certify that the materials described below have been flame retardant treated (or are inherently nonflammable). For: SJjqnature Party Addressl: 2211 South Susan Street Rental City: Santa Ana State, Zip: CA 92704 Certification is hereby made that: (Check W. or "b") iy (a) The articles described below have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Narne of Chemical Chem. Registered No. Method of Application FVO wl The articles described below are made from a flame -resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame -resistant fabric Herculite S-83 b/o Tent F122.29 Top I I Registered No. Jiill JlJ011i 11 Jill Darrel Brown By Josh Shanahan Name of Production Superintendent Description: (2) 40x20 b/o Hip Ends s&b(A&E) (4) 40x10 b/o mids s&b (A&E) Serial Numbers: APPLICATION FOR TEMPORARY PE RMT TO OPERATE FIRE DEPARTMENT Newport Beach Fire Department Life Safety Services 1ODCivic Center Drive, Newport Beach, CA 9266D (949) 6443106Fax (949) 644-312D NEWORMACH FIRE DEPwi�IM11:Nf MUF@R OERViCEsM1SIM TMiFFSP"ITfM vW representative. 7Phone: Name: Signature Party Rentals Applicant Name: 14-545-6777 Address: Email: pchamberlin@signatureparty.com Email: Contact Name: Heather Harden Contact Name: Event Name: Heart Hospital - Via Capri Street dinner - R#70131 Event Address: Resort at Pelican Hill, 22701 S Pelican Hill Rd, Newport Coast 92657 Event Date: 9/9/2016 Event Time: 6pm I No of Attendees : 90 SPECIAL EVENT PERMT •R• (A siteplan is required forallpendt5, except candle perrdts. Feeapplies to each inditfidualPardtas rnat*edbeloW ❑ Tents and IVbmbrane Structures Size of tent(s) In excess of 400 sq ft with sides or 700 sq ft without sides Site plan required to include the following: ► Square Footage of canopy, tent or membrane structure ► Number of Tent Walls ► Location of Exits (include size, type, etc.) ► Location of Fire Extinguishers (minimum 2-A:10- B:C) with current service tag ► "No Smoking" signs ► Diagram for interior including location of chairs, tables, merchandise ► Occupant load for event. Use 15 square feet per person for events with tables and chairs. Use seven square feet per person for events without tables and chairs. An approved occupant load will be listed as a requirement of permit when issued. 0 Liquefied Petroleum Gas (LP -gas) Size of tank(s) 1 Quantity of tanks l Ogal ► Site plan required showing location of cooking or heating equipment and structures ► Weeds, grass, brush, trash, and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks ❑ Liquid or Gas -Fueled Vehicles or Equipment in Assembly Buildings Quantity of vehicles ► Diagram required of interior including location of chairs, tables, vehicles and location of exits. ❑ Candies & Open Flames in Assembly Areas Quantity of candles ► Arrangements to be secured together as one unit, trim wicks to reduce flame height and ensure conditions are followed. ❑ Other (specify) SPECIAL EVENT FEES ❑ $46.00 Candles (includes first time and special event) o $ Per Individual Permit as marked above, (inspection fee included if during weekday normal business hours). 0 $ 9.00 —Inspection during contiguous normal business hours (1 hour minimum): Ins ection durin non-conti uous normal business hours, weekend or holiday, 2 hour minimum FIRE ADIVINISTRATION ONLY ❑ Special Conditions ofPeadtA pply, **(SeeA cached) lul invoice No: FS540D Customer No: R ates changed per newMaster F ee Schedule adopted by R esolution Na 2015-76 on S eptember22, 2015. Note: Effective Fire Permits are not transferable. lfbusiness sold, orifquan#des orprocesses change, a newPbrmitis required. F: k ireSa&fiervicesTor mA pplica6on forTerrpPemit-Spedal f vent(09-22-15) City of Newport Beach Fire Department Special Event Pelican Hill — Via Capri Event: Heart Hospital 9/9/16 Pelican Hill — Via Capri 90 Guests • All equipment, appliances, tables, chairs, etc. shall be located in cul-de-sac parking spaces, NOTHING shall be located in any part of the street or cul-de-sac. Permitee shall be responsible for keeping fire access road clear at all times. • Visible and Mounted Fire Extinguishers with Current Service Tags. • Fryers shall have Class K fire extinguishers • No Smoking Signs at propane area. • No cooking in tents or canopies open to the public. • Do not block any fire hydrants, fire department connections, or any other fire feature required by the fire department. • Do not block any fire access routes. • Cooking and heating equipment shall not be located within 10 feet of building exits or combustible materials. • Outdoor cooking that produces sparks or grease -laden vapors (stoves, barbeques, fryers, etc.) shall not be performed within 20 feet of a temporary membrane structure, tent, or canopy. • LPG containers shall be located outside a minimum of 10 feet away from tent and be adequately protected and secured. • Open flame or other devices emitting flame (stoves, etc.) are not permitted inside or within 20 feet of any tent or membrane structures while open to the public. • Cooking area shall be cordoned off to keep general public away from cooking equipment and cooking tents. • If Inspection is required, please contact the Fire Department to arrange date and time • PERMITEE SHALL BE RESPONSIBLE FOR SETUP/LOCATION AND ALL REQUIRED METHODS OF BARRICADES TO SEPARATE THE PUBLIC FROM THE COOKING EQUIPMENT. ANY CHANGES TO LOCATION AND BARRICADES SHALL BE APPROVED BY THE FIRE DEPARTMENT BEFORE THE COOKING EQUIPMENT IS UTILIZED The Heart Hospital Festa Friday, 9/9/16 Via Capri 90 Guests Uh