HomeMy WebLinkAboutF2024-0343 - Permit ApplicationCity of Newport Beach Fire Permit Application
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1
Project Address
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Number and Street suite/unit
zip
Associated Building Permit #
Owner /Tenant
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Name
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3
Scope of work/
misc. description
New
Construction TI Addition Alteration ri
Demolition
*Check one
Number of Stories
Commercial Fire Sprinkler
Number of Heads
per building
LEI13 LJ13R LJ13D
Multi -Family (3+units) (a Fire Alarm
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lumber of Devices
0 Number of
.
17IResidential (1-2 units) OFire Underground
FiNumber of Risers
Dwelling Units
*Check one O Fire Misc.
*write in accurate count
*describe above
4 Applicant Information Name: S eo?l' - Avye.rep,
Address: 7-5'9a& liJj° iyh wv/ La,.
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Ph�#: rt Loo Email:�✓JoJn�ylTcc✓�.EnSQI�,i
1P Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
Q Check if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: Class:
Office Use
Permit2 Plan Check
O�igo Permit I Plan
Number �/ Number (�i
Check Fee
$