HomeMy WebLinkAboutF2025-5096 - Permit Application¢rEwvpgr
City of Newport Beach Fire Permit Application
1
Project Address
Number and Street suite/unit
zip
Associated Building Permit #
Z
Owner/Tenant
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N
3
Scope of work/
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PA
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misc. description
New {lipl L..�
Construction TI Addition Alteration
Demolition
*Check one
Number of Stories
El Commercial Fire Sprinkler
Number of Heads
per building
13 LJ13R LJ13D
Multi -Family (3+units) Fire Alarm
lumber of Devices
Number of
Dwelling Units
�Residential(1-z units) FlFire Underground
171 Number of Risers
*Check one Fire Misc.
*write in accurate count
*describe above
4 Applicant Information Name:
Address: LL (nllmG
Phone#: �- , , albf 7,J Email: r b
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Check if same as Contractor
Designer Information Name: lAk.
Address: - Pt<,iiDi:
Phone#: �,7 •L_ Email:
0 Check if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: Class:
Office Use
Permit fZ4 5 5-ou Plan Check Permit Plan
Number V(, . Number
t Check Fee
$