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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
1. Project Address (Not mailing address)
2415 Francisco Drive, Newport Beach, CA 92660
[X Fire Sprinkler F_ Fire Alarm r Fire Misc
Tenant Name
2. Description of Work
Design build a new 1-story overhead RESIDENTIAL fire sprinkler system in accordance with
2016 NFPA 13D - (36) sprinkler heads.
Extg Sq Ft 3,206 New/Added Sq Ft 437 Total Sq Ft 3,643
Fx— New F Add F_ Alter r Demo
Check Appropriate Box for Applicant/Notification
Floor Suite No
# Units �—
Use SFR
Valuation $ 4,200.00
# Stories F
IX 3. Owner's Name Last Sun
First Donald
Owner's Address _
Owner's E-mail Address
2415 Francisco Drive
City Newport Beach
State CA
Zip 92660 Telephone (714) 335-5200
F_ 4. Architect/Designer's Name Last
First Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State F
Zip F_ Telephoned
FX_ 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
[X_ 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
X n 1
PERMIT NO.
TYPE OF CONSTRUCTION
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PLAN CHECK NO. UU/ QOsb
OCCUPANCY - GROUP
D
PLAN CHECK FEE $