HomeMy WebLinkAboutF2024-0529 - Permit ApplicationCity of Newport Beach Fire Permit Application
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1
Project Address
Ale w D&f &I 7
NumberandStreet suite/unit
zip
Associated Building Permit #
Z
Owner/Tenant
Name
3
Scope of work/
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misc. description
Construction TI Addition El Alteration
Demolition
*Check one
Number of Stories
Commercial Fire Sprinkler
Number of Heads
per building
13 LJ13R 13D
Multi-Family(3+units) ❑ Fire Alarm
FIVumber of Devices
Number of
Dwelling Units
Residential (1-2 units) OFire Underground
M Number of Risers
*Check one M Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name:
Address:
Phone#: Email:
0 Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
0 Check if same as Contractor
Contractor Information Name: PC er,fecf'mn
Address: 149-Z2pPr S/ M 1�4,
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Phone#: ?t j 309 -0144 Email:
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License#: y-t3q 7gr Class:
Office Use
Permit Plan Check l Permit / Plan
Number Number U Check Fee $ ref
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