HomeMy WebLinkAboutF2025-5085 - Permit ApplicationCity ofNewport 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�c
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Name
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Scope of work/
misc. description
New
Construction TI Addition
Alteration
Demolition
*Check one
Commercial Fire Sprinkler
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Nu ber of HIs
Number of Stories
per building
13R 13D
❑Multi-Family(3+units) Fire Alarm
Number of DevicesID
Number of
aResidential (1-2 units) Fire Underground
0 Number of Risers
Dwelling Units
*Check one rl Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name:
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Address:
Phone#: Jim2.02 MIt Email: S
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� eck ifs a as Contractor
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Designer Information TJame:
Address
Ph#:
Email:
Check if same as Contractor
Contractor Information Name:
Address:
Phone#:
Email:
License#:
Class:
Office Use
Permit Plan Check
Number Number
Permit I Plan
Check Fee $
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