HomeMy WebLinkAboutF2024-0484 - Permit ApplicationCity of Newport Beach Fire Permit Application 9
1 Project Address 2q w✓/d/Ze 141d/,j�o b, God.., ,dl/M&y 926ZS—
Number and Street suite/unit zip
Associated Building Permit #
Z Owner/Tenant
Name
Scope of work/
3 misc. description '�e�lre %/bl�y/lel �ySJI�II
New
Construction Ti Addition Alteration Demolition
*Check one
Number of Stories
Commercial El Fire Sprinkler �S Number of Heads 2 per building
13 LJ13R LU13D
❑Multi -Family (3+units) ❑ Fire Alarm ❑lumber of Devices El Number of
Dwelling Units
Residential (1-2 units) MFire Underground ❑ Number of Risers
*Check one ❑ Fire Misc. *Write in accurate count
*describe atamee'
4 Applicant Information Name:
Address: 2 32EZ eq��92i�ls 2r�y e 7z�
Phone#: ?j/p — /��p—/f/0� Email: eVl �rP,or ; fl
Vol-
= Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
QCheck if same as Contractor
Contractor Information Name: g//Q
Address:2326Z 6UW4125Zfl�/ 1,4,7
Phone#:3je-r,6�57 ylOG� Email: e-///' j eO1?7
License#: ���s-yQS— Class: e— /6
Office Use
Permit
I
Plan Check -2 `r, r, n
Number
�p �
I, Check/P $
Number `� IN (/� `�(lY Check Fee $