HomeMy WebLinkAboutF2024-0601 - Permit ApplicationCity of Newport Beach Fire Permit Application
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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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Scope of work/
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misc. descriptionNw
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TI Addition Alteration Demolition
Constreuction
*Check one
up
F1
Number of Stories
Commercial Fire Sprinkler
i l Number of Heads
per building
13 LJ13R LJ17D
Multi -Family (3+units) Fire Alarm
FVumber of Devices U Number of
Dwelling Units
QResidential (1-2 units) MFire Underground
❑ Number of Risers
*Check one F1 Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name: �P"aA
Address: IgS1 W. +`oAto,�
Phone#: 23 ( olio Email: brl'
t1S Ga co.C,-Y✓1
Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
Q Check if same as Contractor
Contractor Information Name: fV%lc nth PJyL
Address: )K6l A
Let l-66 C r
Phone#: .54�2, 6Q Email: br,*oS ec`fpco cc l
License#: a5ggt Class: L-lk
Office Use
Permit I�tl �(�� Plan Check Permit/ Plan
�'ZO(,l�n ' Number uZ�.r'�S8 Check Fee$
Number