HomeMy WebLinkAboutF2025-0005 - Permit Application1
City of Newport Beach Fire Permit Application
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Project Address
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Number
and Street
suite/unit zip
Associated Building Permit #
Owner / Tenant �/ `
Name C/ GNT {v N v
3 Scope of work/ r�
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Con stNeuction TI Addition Alteration Demolition
Number of Stories
Commercial
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Fire Sprinkler
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Number of Heads
per building
13 LJ13R 13D
Multi -Family (3+units)
Fire Alarm
aVumber of Devices
0:1 Number of
Dwelling Units
Residential (1-z units)
Fire Underground
0
Number of Risers
*Check one
rl Fire Misc.
-Write in accurate count
`describe above
4 Applicant Information Name:
Address:
Phone#:
Check if same as Contractor
Designer Information Name:
Email:
Address:
Phone#: Email:
Check if same as Contractor
Contractor Information Name: Cd Srn�Ha v
Address: zlt-77 Ls. Ls f S}-
Phone#: Scl-c n-61r i Email:j+.
License#: i! S 59-d Class:
Office Use i 2o0g. oob 5
Permit Plan Check Permit I Plan
Number ? " 2(? Number Check Fee $
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