HomeMy WebLinkAboutF2024-0497 - Permit ApplicationCity of Newport Beach Fire Permit Application
4N�WPO4.
1
Project Address
j ivi ��� R Llub 0
Number and Street suite/unit
zip
Associated Building Permit # F-2p23 ( 6
Owner/Tenant
2
Name
i'—>-FOD S ! j
Scope of work/
k JS'(P L,tua� 0frK t«� u� Mvs S rcfL �eNePa zz
3
ption
misc. descriNew
I
Construction TI Addition Alteration Demolition
*Check one
Number of Stories
Commercial Fire Sprinkler
Number of Heads
per building
13 LJ13RH13D
Multi-Family(3+units) M Fire Alarm
kmber of Devices Number of
Dwelling Units
Residential (1-2 units) Fire Underground
Number of Risers
*Check one Fire Misc.
'Write in accurate count
*describe above
5,000
4 Applicant Information Name: G�U�ETtt J�6i'
Address: %Zj ht t F1z[,E c Dp, :!�w Z-h 1s
SPe i; s GA `16)j.76-
Phone#:Cgbj)gL17-57IC4,, Email: t�Uz�6F'Mrtdt-ppJT
ALL
0 Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
Q Check if same as Contractor
Contractor Information Name: (+,p5 GRAJc5
Address: 1101 RVJCD60 W115 N4W7VF=i
Llyru 9'L660
Phone#:LCIL1q)-L79-1L57 Email: 2b"VGS6 �Nfl ttcT
License#: Class:
Office Use 0' 97
Permit /j ,/� Plan Check �j� „^ Permit/Plan
Number IWI\ L�i Number (�1 Check Fee$
C/. G
�H