HomeMy WebLinkAboutF2024-0337 - Permit ApplicationCity of Newport Beach Fire Permit ApplicationW*�_
1 Project Address #avP 0 PT ccMTFR
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Number and Street
Associated Building permit #
Z Owner/Tenant
Name O K L, E
to/`unfit Zip
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3 Scope of work/ mj�
cription r �V16E FJ R� s
ist. desij s TFI" q DA) TMA/ A, 4 T
New
Construction T Addition Alteration
*Check one Demolition
Commercial Fire Sprinkler Number of stories
Number of Heads
13 13R 13D per building
❑Multi -ramify (3+units) Fire Alarm
// um r of Devices 0 Number of
Residential (1-2 units) Fire Underground Dwelling Number of Risers
*Cheek one Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name:
Address: L
Designer Information
Contractor information
-1 Check if same as Contracto.
Name:
Address:
Phone#:
Check if same as Contractor
Name: //V=m
Address: 37ce 0�
Email:
Email:
IN S
License#:
office Use b O'fb Class:
Permit 1 (�J �O� Plan Check f_
Number ILZ�
Number ��. Z � 2 � - I'Z' Permit I Plan
Check Fee $