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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
1511 Cliff Drive, Newport Beach, CA 92663
Tenant Name
2. Description of Work
(X Fire Sprinkler F— Fire Alarm F— Fire Misc
Design build a new 3-story overhead RESIDENTIAL fire sprinkler system in accordance with
2016 NFPA 13D - (68) sprinkler heads.
Extg Sq Ft F New/Added Sq Ft 7,496 Total Sq Ft 7,496
(X New F_ Add F_ Alter F— Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units
Use IDuplex
Valuation $ 7,200.00
#Stories F
Fx 3. Owner's Name Last Batista
FirstFjuan
Owner's Address
Owner's E-mail Address
1511 Cliff Drive
City Newport Beach
State CA
Zip 92663 Telephone (949) 422-9191
F— 4. Architect/Designer's Name Last
First[ Lic. No.
Architect/Designer's Address
Architect/Designers E-mail Address
City
State F_
Zip �— TelephoneF—
(x 5. Engineer's Name Last Vu
First Anthony Lic. No. 1038755
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
F 6. Contractor's Name Last Nguyen
First Vincent Lic. No. 1084661 Class C16
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
p b�3 PERMIT NO. 05%
TYPE OF CONSTRUCTION
X
PLAN CHECK NO. G %o 2'2- 25 (o I
OCCUPANCY - GROUP
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PLAN CHECK FEE $