HomeMy WebLinkAboutF2024-0444 - Permit Application1
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City of Newport Beach Fire Permit Application
Project Address \X)(
Niimhpr nnrl Street sUlte/Unit Zip
Associated Building Permit # X\C%2'A - 0\_�) 5
Owner / Tenant gr
Name
scope of work/ �f 2 h\ �o cc\ I 1 C�)�
-nisc description
New TI Addition Alteration Demolition
Construction
'Check one
Number of Stories per
Commercial Fire Sprinkler EE_Number of FS Heads buildin
11 13 1 13R 13D
nMulti-Family(3+units) FX Fire Alarm
nResidential (1-2 units) Fire Underground
-Cheek one Fire Misc.
-describe above
q Applicant Information
Designer Information
Contractor Information
` 6- Number of FA Devices
® Number of Dwelling
Units
nNumber
of Risers
-Write in accurate count
Name:\\ZouS\�
Address: 2A0 W
Phone#: -ll'-\ 6'8 j
I_-3Check if same as Contract
Name:
Address: p.-(o5
Phone#: )-\3 -100 _
®Check if same as Contractor
Name: Aab - cot,
Address: )-\ Q Lo
Phone#: 1U'A 635
License#: \ () (S �,
3 roc) cl. V-e- e(cLY e. C-N \ 65
'Fwv�, Email: Seri e-d � l�Y�L7efon5®\ ,e n
ZCA
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Email: �-cll
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cooc AN e- e- CA cl\2g 5
Email: Se,ye
Class: C \o C_\ k
Office Use Permit Plan Check Permit/Plan
Number Number Check Fee$0 PC-
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