HomeMy WebLinkAboutF2024-0360 - Permit ApplicationWorksheet for Fire Permit Application p EW'°RB
Print Form z
City of Newport Beach - Building Division o
Please print 3 copies
Associated Building Permit #
FX_ Fire Sprinkler j— Fire Alarm r Fire Misc
1. Project Address (Not mailing address) Floor Suite No
000 Birch Street F_ 00
Tenant IThe Picerne Group - Suite 600 # Units
Name
2. Description of Work
Use B
Fire SprinklerTI (2) heads
Valuation $ 1,800
r
Extg Sq Ft 352 New/Added Sq Ft I Total Sq Ft
# Stories I6
I— New r Add )C' Alter (— Demo
Check Appropriate Box for Applicant/Notification
I nfnrm�4inn
r 3. Owner's Name Last IThe Picerne First Group
Owner's Address
Owner's E-mail Address
5000 Birch Street, East Tower, Suite 600
City Newport Beach State CA
Zip 92660 Telephone
F_ 4. Arch itect/Designer's Name Last
First Llc. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City I State F_
Zip F_ Telephoned
(— S. Engineer's Name Last
First Lic. No.
Engineer's Address
Engineer's E-mail Address
City _ State �—
Zip F_ Telephoned
jX 6. Contractor's Name Last aekel First Steve Lic. No. 599761 class 36,10,16
Contractor's Address
Contractor's E-mail Address
1170 E. Fruit Street
jaekel@firesafetyfirst.com
City Santa Ana State CA
Zip 92701 Telephone 714-329-7110
OFFICE USE ONLY
PERMIT NO. O= ye O Q
TYPE OF CONSTRUCTION
PLAN CHECK NO. ?G20ZY -4 z 6 S
OCCUPANCY - GROUP
PLAN CHECK FEE $