HomeMy WebLinkAboutF2025-5087 - Permit Application'Check one
4 Applicant Information
Designer Information
City of Newport Beach Fire Permit Applicationz
1 I Project Address
Number and Street suite/unit V Zip
Associated Building Permit #
Z Owner / Tenant( �p M/ /t r'
Name I t t/ 7�1', V' � I� ��I � -E c as *M'VI kP1
Scope of work/ ;v"
3 /
mist. description ' ,y���y
Construction TI Additl0n
'Check one
Commercial Fire Sprinkler
13R 13D
Multi -Family (3+units) Fire Alarm
Residential (1-2 units) Fire Underground
MFire Misc.
'describe above
Name: i
j
dresg�one#:
ck if me as
Alteration ri Demolition
FI
Number of Heads
Number of Stories
per building
QVumber
of Devices
0 Number of
Number of Risers
Dwelling Units
'Write in accurate count
Contractor
Ema
I_I �necrc IT same as Contractor
Contractor Information Name:
Address:
Phiceone#: Email:
Lnse# J Class i
Office Use
Permit Plan Check
Number Number Permit/ Plan
Check Fee $
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