HomeMy WebLinkAboutF2024-0215 - Permit ApplicationCity of Newport Beach Fire Permit Application '
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1 Project Address 100
I� UI. Li r �aq7 6 0
Number and Street suite/unit zip
Associated Building Permit #
Owner / Tenant
2 Name
3 Scope of work/ R�loc � NSaF�'f5 P¢wra w»o/ f G PVPS
misc. description
New TI Addition Alteration Demolition
Construction
*Check one
Number of Stories per
Fi Commercial Fire Sprinkler is Number of FS Heads building
13 13R 13D
IMulti-Family (3+units) n Fire Alarm =Number of FA Devices E] Number of Dwelling
U n its
= Residential (1-2 units) Fire Underground = Number of Risers
*Check one Fire Misc. *write in accurate count
*describe above
4 Applicant Information Name: ft ,t Fyn 5/-c�ct L5
Address: t3100 ( ait LLwy -*1LZ_
Phone# yyq3;7 g67q Email y� zs cosy
—EiCheck if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
®Check if same as Contractor
Contractor Information Name: f Gx c'-rr- 4Y q
Address: 11. l�lfo �lrwt/ /ZZ
Phone#:fqq-337-`7679 Emai:
License#: 732,317,62Class: l6
Office Use Permit PlanNumber Can Check Permit/Plan
heck Fee
Number $
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