HomeMy WebLinkAboutF2025-5007 - Permit ApplicationI
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City of Newport Beach Fire Permit Application
Project Address 1 -') 1 9 Y/ 9 `Y1 /t i ,D n -r /� 1 / n
Number and Street V suite/unit ( /v ,`zip if
Associated Building Permit# V�%/%%1�� �/Iz 0
Owner/Tenant / iWb�� XvC_LDPmUrJT Iv I L44 s
Name L
3 Scope of work/ M J misc. description � .�1 tfi;ieng �•
conNru<tion TI Addition Alteration Demolition
*Checkone
L.j
11
Number of Stories
Lfb
Commercial
Fire Sprinkler
Number of Heads
per building
13 LJ13R 13D
aMulti-Family(3+units)
M Fire Alarm
17171
umber of Devices
Number of
[_'
QResidential (1-2 units) Fire Underground
M Number of Risers
Dwelling Units
L�YC)
AA�
c�.W 1 �
*Check one
Fire Misc.
*Write in accurate count
'describe above
4 Applicant Information Name:
Designer Information
Contractor Information
Office Use
Permit 07 FZOts-50 Number ♦♦♦ ��AW��w��n
-5009
Address:
Phone#:
Email:
0 Check if same as Contractor
Name:
Address:
Phone#:
Email:
E�bKck if same as Contractor
Name: Interface Systems
Address: Schaufele Ave Suite
Phone#: 5-63 353'/680
Email:
kelley.santacruz interfacesys.com
License#: y/, j Okf &
Class:
C 10
Plan Check
Number
Permit l Plan
Check Fee $