HomeMy WebLinkAboutF2024-0363 - Permit ApplicationCity of Newport Beach Fire Permit Application 0;55'_W.��
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Project Address
I C, �,4,7 ` ( ,46,4_&A
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Number and Street suite/unit zip
Associated Building Permit #
Owner / Tenant
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Name
3
Scope of work/
misc. description
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onstlion 171 TI Addition Alteration Demolition
Check one
Commercial Fires Sprinkler
Number of stories
3 Number of Heads
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per building
13 LJ13R I 113D
Multi-Family(3+units) ❑ Fire Alarm
F—IlVumberofDevices ❑ Numberof
Dwelling Units
Residential (1-2 units) OFire Underground
FiNumber of Risers
*Check one rl Fire Misc.
*Write in accurate cou / /•� f�
*describe above
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4 Applicant Information Name: 5
Address: 1i/L7/ t 5 0i� /// (/1 12(,i/(t
Phone#: I/N-i�o`7- Sal, Email: yr e�KA I/ EV
® Check if same as Contractor
Designer Information Name: in It; S SOV�
Address: �2N.r n/. i.G)G
Phone#: 71g, q j) -DOfr i Email: qc j SvM is •la�kx
0 Check if same as Contractor
Contractor Information Name: lC=��� A/L rtP(l� C(lca/, y—i L
Address: i 0 i LI I '1=-Siiil oyc b�-F-0i 0
Phone#: 'liU-' C)q _ql:D�L/ EmaiICI'i' +�/I_etzy lira[ Ppo k (,Av
License#: 7 D3 Class: _ jL
Office Use
Permit Plan Check Permit I Plan
Number 202 y ^ O3b3 Number Check Fee $
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