HomeMy WebLinkAboutF2024-0341 - Permit ApplicationIN
City of Newport Beach Fire Permit Application OP
Project Address
4 bNumber and Street C suite/unit zipl ('
Associated Building Permit #
Owner / Tenant
Name
I 9
Nevis ®rt
Scope of work/
misc. description 1 N 5"VA\\ %WJ A �• Dta1 rJ ®P►J`[ �jnr ; Af lCpp (
New
Construction TI Addition Alteration Demolition
Commercial 11 Fire Sprinkler
13 LJ13R 13D
Multi -Family (3+units) M Fire Alarm
MResidential (1-2 units) MFire Underground
*Check one rl Fire Misc.
*describe above
4 Applicant Information Name:
Number of Stories
Number of Heads
per building
lumber of Devices
El Number of
Dwelling Units
MNumber
of Risers
*Write in accurate count
Phone#: Qgg.(oZ$. qql I
Email:
Chri5Ga 50C.OFlfL corn
E] Check if same as Contractor
Designer Information Name:
Address:
Phone#:
t7 Email:
0 Check if same as Contractor
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Contractor Information Name: SOa'i'rl GQ_a +
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Pro'tdc fiaNa live,
Address: lol $ 5.
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Phone#: I.ai_ yct3-q&oq
Email:
OFFICEADWORSo66FifP
License#: 1W 12A
Class:
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Office Use -1
Permit �^ JL'l JQ 1 Plan Check ��f,9 Permit l Plan
Number L jt� Number Check Fee $
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