HomeMy WebLinkAboutXC2024-0190 - Permit Application(057�
Po�+r
City of Newport Beach Fire Permit Application )
0OA
1 Project Address In gqNwuo Grcke., S..iK 505• Newyat (Seat\), M CII(nuo
Number and Street suite/unit zip
Associated Building Permit #
2 Owner / Tenant
Name GrArtk proPectieS LotNe s
3 scope of work/ ITAe Scope of WOO ',ncWdes kh. celoca"n aw c'7.a) ekrsting licc spnhri-_v `nead,3 dv,_
mist. description hcW W0\1 qrd ki W kac hMS.
New
Construction X TI Addition Alteration Demolition
*Check one
Number of Stories per
X Commercial X Fire Sprinkler `l.o Number of FS Heads (0 building
�( 13 1 13R 13D
n Multi-Family(3+units) n Fi re Alarm nNumber of FA Devices Number of Dwelling
Units
nResidential(1-2 units) n Fire Underground n Number of Risers
*Checkone Fire Misc. *Write in accurate count
*describe above
4 Applicant Information Name: john lohnsieVn (Rk Pro 1itt. QrOkgn6h 1nc.l
Address: k-IR yotlmor \?tGcd ciik ;A OCfCMCke LIN 012058
Phone#:(g6k)2'k .oifS3to Email: john@a11rn ficcMccam
Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
QCheck if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: Class:
l lk'i
Office Use Permit Plan Check Permit/Plan
Number Number Check Fee $
0 i0 0