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City of Newport Beach Fire Permit Application
Project Address 20 BALBOA COVES
92663
Number and Street oiitph nit lnr
Associated Building Permit #
Owner / Tenant
Name VINH RESIDENCE
Scope of work/
mist. description I INSTALLATION OF 31 FIRE SPRINKLER HEADS & 1 SYSTEM RISER
X construction El TI Addition Alteration Demolition
*Check one
Commercial X Fire Sprinkler
LJ13 H13R 1113D
❑Multi-Family(3+units) ❑ Fire Alarm
FIResidential (1-2 units) Fire Underground
*Check one ❑ Fire Misc.
*describe above
4 Applicant Information Name:
Address:
Number of Stories
F311 Numbbfl of Heads 3 per building
FVumber of Devices Number of
Dwelling Units
171 Numberof Risers
'Write in accurate count
Phone#: Email:
® Check if same as Contractor
Designer Information Name:
r P-hone#: Email:
u Check if same as Contractor
Contractor Information Name: MONTY G CASEY
Office Use
Permit o1�w
Number a
Address: 1101 KING'T_ON DR, LA HABRA CA 90631
Phone#: 714-476-5370 Email: FIREPROOFMCOGMAIL COM
License#: 876004 Class: C-16
Plan Check Permit I Plan
Number Check Fee $
4r4513-10 5
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