HomeMy WebLinkAboutF2024-0005 - Permit Application (3)Worksheet for Fire Permit Application ?EW>oR �
Print FormZ51City of Newport Beach - Building Division
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Please print 3 copies oP
Associated Building Permit #
r Fire Sprinkler r Fire Alarm i— Fire Misc
1. Project Address (Not mailing address) Floor Suite No
2523 Eastbluff Drive 2523
Tenant Name Eastbluff - ILL Demo Z # Units F
2. Description of Work
_
Use IM —
Fire Sprinkler Demo
Extg Sq Ft 1,553 New/Added Sq Ft Total Sq Ft �—
Valuation $ 1,500.00
# Stories F
r New r Add r Alter IX Demo
Check Appropriate Box for Applicant/Notification
InF��m�f'�n
r 3. Owner's Name Last
First 7—
Owner's Address
Owner's E-mail Address
City
State �—
Zip Telephoned
r 4. Architect/Designer's Name
Last First F Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City I
State F_
Zip F__ Telephoned
r 5. Engineer's Name Last
FirstF Lic. No.
Engineer's Address
Engineer's E-mail Address
City
State
Zip Telephone
r 6. Contractor's Name Lastf Jaekel
First Steve Lic. No. 599761 Class C36,10,16
Contractor's Address
Contractor's E-mail Address
1170 E. Fruit Street
sjaekel@firesafetyfirst.com
City Santa Ana
State CA
Zip 92701 Telephone 714-329-7110
OFFICE USE ONLY
PERMIT NO. xYt-%v23.000-7
TYPE OF CONSTRUCTION
PLAN CHECK NO. 2'202A - 0009
OCCUPANCY - GROUP
PLAN CHECK FEE $