HomeMy WebLinkAboutF2024-0104 - Permit Applicationr��AP9�
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City of Newport Beach Fire Permit Application
1
Project Address
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Number and Street suite/unit
zip
Associated Building Permit #
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Owner / Tenant
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Name
3
1 Scope ofwork/
mist. description
New
construction TI Addition Alteration
Demolition
*Check one
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Number of Stories per
Commercial Fire Sprinkler
Number of FS Heads
buildin
13 13R 13D
nMulti-Family(3+units) n Fire Alarm
ID Number of FA Devices
Number of Dwelling
Units
nResidential (1-2 units) Fire Underground
n Number of Risers
*Check one Fire Misc.
*write in accurate count
*describe above
4 Applicant Information Name: iON Ir l ��(Z( $&G
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Address: 2, 24 e (-.4 h 2 1 CiD
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Phone#:!5!7q ) gS 7 3f t�2 Email:
QCheck if same as Contractor
Designer Information Name: /Lt I le� tit —S
Address:
Phone#: Email:
QCheck if same as Contractor lj
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Contractor Information Name: �x C� �17
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Address:
Phone#: Email:
License#: class:
Office Use Permit Plan Check Permit/Plan
Number Number Check
Fee $