HomeMy WebLinkAboutF2024-0451 - Permit Application2
City of Newport Beach Fire Permit Application ; 1
Project Address �� /t a Y) (A
Number and lStreet suite/unit zip
Associated Building Permit #
Owner/Tenant �VWX,
Name
Scope of work/ \.
3 misc. description
New
Construction TI Addition
*Check one
J
Commercial
Fire Sprinkler
13 13R 13D
Fire Alarm
Fire Underground
Fire Misc.
*describe above
1 4 Applicant Information Name: UV--VzG11 V\Q cf V-,S U�
* "F
ai-& v e�e
Designer Information
Demolition
Number of Stories
�J
Number of Heads
0
per building
lumber of Devic es
I. LI Number of
Dwelling Units
Number of Risers
*Write in accurate taunt
Address: 33Uy\ C011, L¢ e=e4-G-(-m YoA rTiggy
Phone#: 1Jy Email: IL) r�a� (o�q
heck if same as Contractor Gff (xl`G�Pf • �/��
Name: (�+P,kvAlt (AArtf 1,
Phone#:k%71q�(pU� Il7�Email:rf-'/.j0444 (de'okea ,4
Check if same as Contractor V G ( CV e-A—
Contractor Information Name: � r�— —/(R� (^C'M I L
Address:
Phone#: Email:
License#: ,CNU Class: (— 1(a
Office Use
Permit Plan Check Permit I Plan ' II
Number Number Check Fee $ • QW
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