HomeMy WebLinkAboutF2025-5389 - Permit Application1
City of Newport Beach Fire Permit Application
s.
Project Address
Y
N /
/,C'
Number and Street
suite/unit
zip
Associated Building Permit #
Owner / Tenant
Name
3 Scope of work/
mist. description
ConstruNew ction TI Addition Alteration Demolition
*Check one
'e:�l Commercial
0Multi-Family (3+units)
M Fire Alarm
Residential (1-2 units)
Fire Underground
*Check one
rj Fire Misc.
*describe above
4 Applicant Information Name:
Number of Stories
Number of Heads per building
lumber of Devices 0 Number of
Dwelling Units
aNumber of Risers
*Write in accurate count
Address:
Phone#:
Email:
0 Checkifsame as Contractor
Designer Information
Name:
Address:
Phone#:
Email:
0 Check if same as Contractor
Contractor Information
Name:
Address:
Phone#:
Email:
License#:
Class:
Office Use
Permit �7 p
an
Plan Check
Permit / Plan
Number l `�Z�J53(]�
Number
Check Pee$
Fire Sprinkler
13 13R 13D