HomeMy WebLinkAboutF2025-0064 - Permit ApplicationCity of Newport Beach Fire Permit Application
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1 Project Address
Number and Street suite/unil
zip
Associated Building Permit #
Z Owner / Tenant
Name
3 Scope of work/
misc.description be ^x( T7d�� `)nM ILten %-
New
Construction TI Addition Alteration Demolition
*Check one
Sprinkler Number of stories
P Numberof Heads
CommercialL1313building
Per
R 13D❑Multi-Family
(3+units) Alarm lumber of Devices El Number of
❑Residential (1-2 units) rJFire Underground Dwelling Units
0 Number
of Risers
*Check one Fire Misc. *Write
in accurate count
*describe above
4 Applicant Information Name: jyc"l��
Address.
Phone#: 7/N 7�D 75SC7 Email: 5 r,�d.,
0 Check if same ds Contractor
Designer Information Name: V\/ i'S 01LG
Address: e j pv,, j i
Phone#: qSl 1153-y377 Email WvIGLtar✓
C�,c �t —
Check ifsame as Contractor
Contractor Information Name:
I g"u r(vLF
Address. /D y ( Tl h`�" i but ff6 Sidi kG r 2 clou G
Phone#..11W-?UklEmail
License#. �� 3 Class: iG
Office Use
Permit Plan Check
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Number Permit/Plan
Number O
Check
Fee $