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Associated Building Permit#
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
206 Apolena Ave, Newport Beach, CA 92662
Tenant Name
2. Description of Work
F} Fire Sprinkler F- Fire Alarm i— Fire Misc
Design build a new 3-story overhead RESIDENTIALfire sprinkler system in accordance with
2016 NFPA 13D - (30) sprinkler heads.
Extg Sq Ft F—New/Added Sq Ft 2,720 Total Sq Ft 2,720
Fx New F- Add F- Alter F- Demo
Check Appropriate Box for Applicant/Notification
O Y
oaN.>
Floor Suite No
# Units
Use SFR
Valuation $ 3,400.00
# Stories I
Fx 3. Owner's Name
Last 206 Apolena Investment LLC First
Owner's Address
Owner's E-mail Address
2901 W. MacArthur Blvd., Suite 207
City Santa Ana
State CA Zip 92704 Telephone (714) 791-3771
I- 4. Architect/Designer's
Name Last First F Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
I
City
State Zip Telephoned
Fx 5. Engineer's Name
Last Vu First Anthony Lic. No. 1038765
Engineer's Address
Engineer's E-mail Address
1621 W. Sumac Lane
ifireprotectiondesign@gmail.com
City Anahiem
State CA Zip 92802 Telephone (714) 234-9633
Fx 6. Contractor's Name
Last Nguyen First Vincent Lic. No. 1084661 Class 116
Contractor's Address
Contractor's E-mail Address
9182 Alwick Circle
xfireprotectiongroup@gmail.com
city ;,Garden Grove
State CA Zip 92841 Telephone (714) 231-5108
OFFICE USE ONLY
PERMIT NO. 51.014- 60011
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $