HomeMy WebLinkAboutF2025-0023 - Permit ApplicationCity of Newport Beach Fire Permit Application r
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1 Project Address �� I �AMk�3ACK SU\vy_�_150
Number and Street suite/unit zip
Associated Building Permit #
2 Owner / Tenant
Name
3 Scope of work/ r Ire A �uvr\
mist. description S�Sterr� coo- �Cp
Construction TI Addition Alteration Demolition
*Check one
Number of Stories
Commercial Fire Sprinkler Number of Heads per building
P3 13R 13D
Multi -Family (3+units) M Fire Alarm umber of Devices ❑ Number of
Dwelling Units
Residential (1-2 units) Fire Underground ❑ Number of Risers
"Check one LJ Fire Misc. `Write in accurate count
-describeabove 1�
4 Applicant Information Name: c�o�OQSCC AtF�A
Address: 2\0 l,0 . cL-ycJcOJ-P__ oro,c\9�
Phone#: ;ty(�g5g\�3 Email: S�(eda�yc�YP eve oY\So\toA
0 Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
Q Check if same as Contractor
Contractor Information Name: jv Jai
Address: 2\oUJ 3QoA LOO k1_o
Phone#: -(ILA 6Email: 5o_ye_Ao ra(Getfe�ot�s®�C� 'arts
License#: C) L class: C
Office Use
Permit _ Plan Check r Permit/Plan
Number 0 Number �Uiii)W Check Fee$
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0,41 V G �I 0-� U U
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