HomeMy WebLinkAboutF2025-5010 - Permit Application1
City of Newport Beach Fire Permit Applications
Project Address 3 d--o hie— 33 O
Number and Street suite/unit zin
Associated Buildine Permit #
Z Owner / Tenant
Name
3
Scope of work/
nisc. description
New
Construction TI Addition Alteration Demolition
"Check one
Commercial Fire Sprinkler
R
3 13R 13D
Multi-Family(3+units) Fire Alarm
MResidential(1-2
units)
OFire Underground
'Check one
Fire Misc.
*describe above
4 Applicant Information Name:
Address:
y Number of Stories
3 Number of Heads 3 per building
F—IlVumber of Devices Number of
Dwelling Units
MNumber of Risers
"Write in accurate count
Phone#:
Email:
® Check if same as Contractor
Designer Information `Name:
Address:
Phone#:
Email:
Check if same as Contractor
Contractor Information Name: GJJ f3 GrX 3j�,
pra
Address: 14 0 9 N G L; N
�SvR Ss
Phone#: 71ti1%d3 --i (lI
Email: 2�.h�< gr�,•>ercw,
License#:
Class:
Office Use
Permit Plan Check Permit Plan
Number Number 2 • 1 Check Fee $