HomeMy WebLinkAboutF2024-0155 - Permit Application2
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City of Newport Beach Fire Permit Application y ~
Project Address �3S3 /\kwPDl C-;err-fR_ pn. 9_� �6 D
Number and Street suite/unit zip
Associated Buildine Permit #
Owner / Tenant 9W61E�LiT � N �% S D►J �S � D
Name l%
Scope ofwork/ ph`v p�mlS�f lJQ� A JIIS7—on
nisc. description / /`-
construction T Addition Alteration Demolition
Commercial Fire Sprinkler
13 13R L13D
MMulti-Family(3+units) r.Y, Fire Alarm
QResidential (1-2 units) Fire Underground
*Check one M Fire Misc.
*describe above
Number of Stories
Number of Heads
per building
0.711NIumber of Devices
Number of
Dwelling Units
QNumber
of Risers
*Write in accurate count
4 Applicant Information Name: Kelley Santa Cruz
Address:
Phon #: Email: kelley.santacruzy7interfacesys.com
heck if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
Q Check if same as Contractor
Contractor Information Name: Interface Systems
Address: 3-7 SU I[, LTG 7,00
Phone#: cJ2 �30 Email: kelley.santacruz(onterfacesys.com
License#: qbytiklb Class: G/0
Office Use
Permit Plan Check ['j��j^ Permit I Plan
Number f Mi SS Number �� 62 Check Fee $