HomeMy WebLinkAboutF2025-5015 - Permit ApplicationCity of Newport Beach Fire Permit Application
Number and Street suite/unit
Zip
Associated Building Permit #
Z
Owner/Tenant
Name
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3
Scope of work/
misc. description
e rye r ca l
New TI
Construction dition Alteration Demolition
*Check one
Number of Stories
Commercial Fire Sprinkler
P1:3
Number of Heads
per building
13R 13D
❑Multi -Family (3+units) ❑ Fire Alarm
❑Number of Devices 13
Number of
❑Residential (1-2 units) ❑Fire Underground
M Number of Risers
Dwelling Units
*Check one ❑ Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name: F Ye Sit -Fe-( Y F11
Address: [ l Ze2 E, Fui / S
,
Phone#: 7%Lr—Sr�36-`%gGZEmail: r1Sa%a (g
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Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
Check if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: Class:
Office Use
Permit Plan Check
T Permit I Plan
Number Number Check Fee $