HomeMy WebLinkAboutF2024-0390 - Permit ApplicationCity of Newport Beach Fire Permit Application
Project Address 30 O'i —6LV D
Number and Street t— c,iita/„nif V
Associated Building Permit #
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mist. description oN Tk+E 2no CUn oq_ R,wn.i <PLne i
New
Construction TI X Addition Alteration Demolition
*Checkone
( Commercial Fire Sprinkler
P13 U13R LJ13D
Multi-Family(3+units) ® Fire Alarm
Residential (1-2 units) MFire Underground
-Check one Fire Misc.
*describe above
Number of Stories
Number of Heads
perbuilding
FKmber
of Devices
El Number of
Dwelling Units
Number of Risers
*Write in accurate count
4 Applicant Information
Name:
Address:
Phone#:
Email:
® Check if same as Contractor
Designer Information
Name:
Address:
Phone#:
Email:
C9 Check if same as contractor
Contractor Information
Name: SEc,uRn!�
QC\jtces
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Address: \gyp -ma"
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Phone#: -41q '44ig °tgoo
Email:
License#:
Class:
Office Use
Permit
Number
Plan Check
Number
Permit I Plan
Check Fee $