HomeMy WebLinkAboutF2025-5320 - Permit ApplicationCity 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 #
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Owner/Tenant
Name
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3
Scope work/
mist. description
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ConstructionTI Addition Alteration Demolition
*Check one
Number of Stories
Commercial Fire Sprinkler
11
Number of Heads
per building
3 L13R H13D
OMulti-Family (3+units) C71 Fire Alarm
lumber of Devices
Number of
Residential (1-z units) QFire Underground
0Number of Risers
Dwelling Units
`Checkone LJ Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name:
Address:
Phone#: Email:
0 Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
[jibneck if same as Contractor
Contractor Information Name: �/1% +�C
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Address: 3757J i fJ%� F ryv t l/ , iw—fr
7,yo
Phone#:S'"3 bS0 Email: kelley.santacru
interfacesyscom
License#: (� Class:
Office Use
Permit Plan Check Permit / Plan
Number Number Check Fee 8
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