HomeMy WebLinkAboutF2024-0031 - Permit ApplicationFr�04A
�53�j1� 51
r dF'VvopRT
City of Newport Beach Fire Permit Application
1 Project Address
Sas
Number and Street suite/unit
zip
Associated Building Permit#
Owner / Tenant
Z
Name
_
J/�✓IeS Mvf'1� �{ esclee�ce
3
Scope of work/
1. 251+9 (� I tqv aP Z� yet J resio4o.��;c�lpRe
SppJ 'k1eR gy
mist. description
p s
New
Construction TI Addition Alteration
Demolition
*Check one
Number of Stories
Commercial Fire Sprinkler
NumberofHeads
per building
13 LJ13R 13D
Multi -Family (3+units) Fire Alarm
number of Devices
M Number of
Residential (1-2 units) Fire Underground
0 Number of Risers
Dwelling Units
"Check one Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name: M I V e VI -A Fi¢e-potcc4,bv
Address: Ilk u15 1=forces Al+so t
'o cA 2lvSb
Phone#: (9- Sag• l l`7 `- Email: br J Ika �z�ofcrcnaTat!
'® Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
® Check if same as Contractor
Contractor Information Name: Mf�e 2�ilka Fiae +¢o:ecli�
Address: 1 f7oaeS 4-1;_V �''o
C-A (a
Phone#: Cga9)a�e'I1�1 Email: b1
RreJrafYcll'one>amwlco
License#: gS811S Class:r—
Office Use
Permit Plan Check Permit Plan
Number I Check Fee $
PR