HomeMy WebLinkAboutF2024-0579 - Permit ApplicationCity of Newport Beach Fire Permit Application =r
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Project Address
Numb rand Street suite/unit zip
Associated Building Permit#
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Owner/Tenant
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Name
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Scope of work/
misc. description
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Construction TI Addition Alteration Demolition
*Check one
Number of Stories
ommercial Fire Sprinkler
P13
Number of Heads per building
U13R U13D
❑Multi -Family (3+units) ❑ Fire Alarm
❑Number of Devices ❑ Number of
❑Residential (1-2 units) ❑Fire Underground
�--ry Dwelling Units
L J Number of Risers
*Check one ❑ Fire Misc.
*Write in accurate count
*describe above
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4 Applicant Information Name: Taufi / i � Ot/p�1Cj, o
Address: 2,U A L , bT&A'\W U
Phone#: 110 V3 ce-il Email: pvbyirll Lnr �t E
Check if same as Contractor /Jwvv..-ern
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Designer Information Name:
Address:
Email:
-P-hlone#:
[� �n Check if" �me as Contractor *VC,
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Contractor Information Name: 1 (kGihL V C, 1SUf✓ai�k_-�,, lkr-
Address:,)-I4&-• Q y"o^ 6
Phone#: Q§ `jj 2-k3 LP--tA Email:
License#: - 'Z'j Class: CALp
Office Use
Permit Plan Check Permit / Plan
Number Number Check Fee $
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