HomeMy WebLinkAboutXR2023-2039 - Permit Application4liF'�-oOgT .
City of Newport Beach Fire Permit Application
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1 Project Address j b I (o Q HvF Z
Number and Street suite/unit zip
Associated Building Permit #
2 Owner / Tenant
Name
Scope of work/
3 misc. descriptiondlhq N&�E SPRi ti1a�2� I °0 �SLC�(
Construction TI Addition Alteration Demolition
"Check one
Number of Stories per
Commercial Fire Sprinkler 3 Number of FS Heads buildin
Li13 13R 13D
nMulti-Family(3+units) Fire Alarm nNumber of FA Devices Number of Dwelling
Units
esidential(1-2 units) Fire Underground Number of Risers
*Check one Fire Misc. "Write in accurate count
*describe above
4 Applicant Information Name: Ali 0k6o 6.6-1_ —re)Cl7�
Address: IZ3D VAlwoad '?4�
Phone#:go2..'1(Z•'{1gL Email:lriI ,f�Zf�eFfRol�c(+o+�/
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QCheck if same as Contractor
Designer Information Name:
Address:
Phon #: Email:
heck if same as Contractor
Contractor Information Nameic-AzIV-�p-2 t(L04fc+-i01
Address:IZ3vyAtwoud -A-
Phone#: &Z . j 12 K lei v Email:
License#:I0y I O`f Class: C - ItO
Office Use Permit ! % Plan Check Permit/Plan
Number �`I! ' Number Check Fee $
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(2,v- 00779$ 1