HomeMy WebLinkAboutF2024-0353 - Permit ApplicationCIJ
City of Newport Beach Fire Permit Application
Project Address I q Abo U t yt
Number and Street suite/unit zip
Associated Building Permit #
2 Owner / Tenant
Name VCD �C'cY� NVl7 v
Scope of work/ r
3 mist. description Tin✓ )U
New TI Addition
Alteration
Demolition
Construction
*Check one
M?
of Stories
F1Number
Commercial
Fire Sprinkler
Number of Heads
perbuilding
13 U13R 13D
Multi -Family (3+units) M Fire Alarm
Number of Devices
0 Number
Dwelling Units
Residential (1-2 units) rJFire underground
M Number of Risers
Fire Misc.
*write in accurate count
*Check one
*describe ab+oven
4 Applicant Information Name: W I Q441 Lid h
Address: '�A u , /I'Ian le
Phone#:� Cj(p/�_ Email:
0 Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
Q Check if same as
Contractor Information Name: I
Address: IZ6
Phone#:
License#: %D
Office Use
C Plan Check n Permit I Plan
Number �'1JCIZ.r"j �3rS� Number iG202`{� t Check Fee8