HomeMy WebLinkAboutF2024-0109 - Permit Application1
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City of Newport Beach Fire Permit Applications
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Project Address 43� 1 SIIFC H S4 g2660
Number and Street suite/unit zip
Associated Building Permit #
Owner/Tenant Name I\ i//tv `Orr^ M��PP_-r 8£4C9
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Scope of work/ / P
misc. description �� r �`7Vn'"
ConsNew
truction TI Addition Alteration Demolition
'Check one
Number of Stories per
Commercial
Fire Sprinkler
Number of FS Heads
building
13
13R
13D
nMulti-Family
(3+units) I /� 1 Fire Alarm
nNumber
of FA Devices 1-1Number of Dwelling
Units
nResidential
(1-2 units) 11 Fire Underground
n
Number of Risers
-Check one Fire Misc. I *Write in accurate count
"describe above
4 Applicant Information Name: S 5 D GL4re-h7 - VA IV P
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Address: /740 N &61nor✓ �9
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Phone#: 7fY 39 727(r Email: al/e�15; eeri
Check if same as Contractor
Designer Information Name: 5 5 D A 1. A ✓r—i6^ !% A
Address: /7 t7 IV LCinbrJ St
01VR Cim
Phone#: 7/z/ 34Z 727g� Email: Q 1e,15;rear;n,
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®Check if same as Contractor
Contractor Information Name: ,S SD A L /^, A-YY�
Address:/7,qo Al LFryron/ Si
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Phone#:7/y3rjL'L7$ Email :aflen ;RPerr!2 L 55 i&rm.
License#: 5 s 7'4 7 Class: (-- 7 r —10 G— t
Office Use Permit Plan Check Permit/Plan
Number Number Check Fee S
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