HomeMy WebLinkAboutF2024-0296 - Permit ApplicationCity of Newport Beach Fire Permit Application
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Project Address
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and Street suite/unit
zip
Associated Building Permit #
2
Owner/Tenant
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Name
3
Scope of work/
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4,71
misc. description
New
construction TI Addition Alteration
Demolition
*Check one\71
Commercial Fire Sprinkler
I Number of FS Heads
Number of Stories per
building
13 13R 13D
nMulti -Family (3+units) n Fire Alarm
Number of FA Devices
❑ Number of Dwelling
Units
nResidential(1-2 units) Fire Underground
L� Number of Risers
*Checkone ❑ Fire Misc.
*write in accurate count
*describe above
4 Applicant Information Name6eQ, ) is &Obk-,
Address: i'
Phone#: 0 " W3'4I// Email; Jlf
OCheck if a/me as Contractor
Designer Information Name: Rrnk_tl�vn,//j0
Address: y �}
Phone#: Emai1:
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Check if same as Contractor
Contractor Information Name: /,L(f/L f)/f rj)7�dGB��
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Address:
Phone#: Email:
License#: 3VJZ Class: 047
Office Use Permit Plan Check t�2}� Permit/Plan
Number Number �i3 Check Fee $ QZR
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