HomeMy WebLinkAboutF2024-0407 - Permit Application2
3
4
%c"WPpgr
City of Newport Beach Fire Permit Application
..d
Project Address
60 1J EcuPOP.T opt tll:a
Number and Street suite/unit zip
Associated Building Permit #
Owner / Tenant
Name -t< CA -A P P 6 L. (a 1 /ytl(- cc NPWAAIY
Scope of work/ (> 3 441V AI�AIC KS
mist. description
New
Construction ED TI Addition Alteration Demolition
Commercial Fire Sprinkler
13 U13R H13D
LJMulti-Family(3+units) • rm Fire Alarm
17111 Residential (1-2 units) FIFire Underground
*Checkone Fire Misc.
*describe above
Applicant information Name: `kpSS
Address: W7
Number of Stories
Number of Heads
per building
Number of Devices
Number of
Dwelling Units
I�
I1
Number of Risers
*Write in accurate count
I Check if same as Contractor
Designer Information Name: A1-LCg
Address: \35i1 S.?AR,SSiz -,> e rA&Ia M
Phone#: (g49)g33-t�46 Email:
QCheck if same as Contractor
Contractor Information Name: CA, -A (,AN(Sn
Address:
Phone#:(-7µF)C35-LJAka Email: O.Ap(d
License#: Class:
Office Use
Permit Plan Check Permit I Plan
Number Number Check Fee $