HomeMy WebLinkAboutF2024-0492 - Permit ApplicationCity of Newport Beach Fire Permit Application
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1
Project Address
1101 N*_�PVPFa9 fir— pzlVt
Number and Street suite/unit
zip
Associated Building Permit #
Z
Owner/Tenant,
Name
3
Scope of work/
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misc. descriptionNw
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i� Construction TI Addition Alteration
Demolition
'Check one
Number of Stories
Commercial Fire Sprinkler
Number of Heads
per building
13 LJ13R U13D
Multi-Family(3+units) � Fire Alarm
If dumber of Devices
M Number of
Dwelling Units
Residential (1-z units) Fire Underground
Number of Risers
*Check one rl Fire Misc.
'Write in accurate count
*describe above
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4 Applicant Information Name:
Address: F (.'
1 1 14q
Phone#:84eKlw2RCCZ Email: -
Aw.c'o
Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
® Check if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: Class:
Office Use
Permit _ Plan Check Permit / Plan
Number Number QEV 2p'L4 Check Fee $