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HomeMy WebLinkAboutX2020-1999 - Permit Application— V111sneet for Building Combo P F Comm'I l�Resident I ermitA City of Newport Beach - Application O4 �EWPo` NOTE: PLAN CHECK FEE DUE AT OF SUB q P Lilding I– GradinX2i1Z0 11 G ',,, .,;� Division rainage ( Elec ( Mech I�ITTAL Project Address (Not mailingI— Plum "'` address) cu va cut— cu va Fiu I �l33 Rew10 aV+em Y F_- Floor Suite No Description of Work Q/ ! wP� ` I'� CM (4 4/ +,!+, t�iew,ove �,, C_ovev o vok. 4S� s Use H_ze `� ✓�� k e -e y 5 a o�caor # Stories # Units (if Res) New/Add SF 5o®f Remodel SF� -- 0wV dC%:)W_T Garage/New/Add Valuation $ OWNER'S NAME Material/Labor c1 Soo Last L,evens O Owner's Address First S �P�✓¢ 1 43 3 Ne, . o� Owner's E-mail Address ti aty N{ i si'cve o � '�° or -f- �eac`. State - Pj`�9M'�he.✓s mss. Cows Zi APPLICANT 'S p NAME Ra�0 Telephone Last L 2v@e eson 9 -�33 mel 1 Applicant's Address First S'I'�� 1 433 New po �l Applicant's E-mail Address City �4 1 �vr , e„ e. c L, o (-, State �Ir------� �/ tis, �TI&'S NAME Zip tea' X046 Telephone- E'Nr.:Pts S 9 g Last Beer's Address First ��- 434/a0 ��� e Tl .ow Ss Lie. No. C436.oq P. Dv Architect/Designer'sE-mail Address / 1 City / 5� �%e ISO 1eYfrrx 8I31�-1!! Tem, eC- -, cam— State ov `q✓,ce 45 ev, Fii'iC c,9 Zip- E� NAME `ta5�'1 O Telephone et51 Last p l h 4 9 l 7 lA o s Addre� 4 ` �s First 31 Lic.No. 01 RO B ,a, iv Engineer's E-mail Address `.o oro Dv,✓� C ity Cosi �� ✓P�Ihgy...,sc� y1Fes `a State C✓Z, Zip— CONTRACTOR'S NAME/COMPANY a(oa� Telephone `I'49 Co44 ,g37D Contractor's Address Leve�oy� <O1 `rev- 134+i1�Ic,- Lic. No.— fVIr9. Classty�j9 11 t433 t4ew�rV �r- Contractor's E-mail Address ay Cit l4Cw v City .sl-�.0 csz L, ✓1' 6e4 Cowl FEE $ � State C E1�R /C Zip ' �O Telephone � FIRE P/C FEE $ DIG /C FEE $ _ PERMIT NO. LE /PLU /MECH P/C FEE PLANNING P/C FEE $ — PLAN CHECK NO. EV PMENT # -- PLAN CHECK FEE $ TOTAL FEES PAID $ I i t Ir-iiectrical/Mechanical/ Plumbin X L L 1491'litY of Newport Beach g Application �EW�Rr 7. Project Address (Not mailingBuilding Division i-�fifJJ(�jt� (� .DeQ address) r„�,�� Building Permit No. r 2. Owner's Name Owner's Street Address Last Telephone�d+ ��J'-2 Owner's E-mail Address F 3. Applicant's Name Last A licant's Street 4ddress _EMtf�rs�m WAV Telephone �j�y ( Applicant's E-mail Ad Floor �� Suite First F�Ii cv City [ L ,''Otate F7�_ Zip First tJ City PO(ZTL(f State zip Gl dress r / r 4. Contractor's Name Last �( ' O I t✓ tr Ci Gd ������� Contractor's Street Address First State Lic# �-- Telephone V ` ' r City ��✓%�j fl Contractor's E-mail Address �� r�DC State f4�C_ Zip O l Furnace Mechanical Quantity up to 100,000 btu:rte over 100,000 btur_ wall/floor heatersf� Heat Pumps/Package units up to 100,000 btur_ up to 1,000,000 btu:r_ UP to 1, 750,000 btu:rte > 1, 750,000 btur_ Boilers/Compressors up to 3 HPr_ 3 HP -15 Hp.1' 15 HP -30 HPf' 30 HP -50 HPF_ >50 HP:r-- Air Handling Units UP to 10,000 CFM :r— > 10,000 CFMFr VAV Boxr� Repair/Alter/Add HVAC New Construction ctrical Quantity 1 & 2 Family SYF_ Multi Family S.F:r— Receptacle, Switch Lighting Outlets Total Outlets:r— Lighting Fixtures Total Fixtures:rte Total Low Voltage :r' -- Separate Circuit[-- Motors/Transformers Signs Number Of Zones ;r� Ventilation Service Bathroom Fan :r -- Exhaust Fan :F _— AtticExhaust;F — Residential HoodFr Commercial Hood:r_ Metal FireplaceFr Gas Linear -- Fire Dampems __ 0-1 HP or KVA i-10 HP or KVA;r-- 10-50 HPorKVA:r- 50-100 HP or KVA;r-- Over 100 HP or KVA:rte One branch circuit :r— Add'I branch circuitr— 0-600V not over 200A:r— 0-600V & over 200A F_ over 600V:r— Temp PP/Piggy Back :r— Sub Panel:r— Otherr— Bathroom Business Lic # Quantity Plumbing Water closet (toilet) F_ Bidet :r— Urinal i — Bath Tub Shower staff :r— Lavatory (basin)F — Hydro-massagetub:r Kitchen Kitchen sink Garbage Disposal:r— Bar sink:r— Vegetable sink :r— Dishwasherr �r----•--- Laundry/washing trap Ice maker Miscellaneous Floor Water p Water soft Water hi Lavatory (b, Gas sys up to 4Outlets :r— Gas sys # of outlets over 4:r— Quantity Backflow device up to 2":r-- BackNow device over 2":r- Regulators :r— Lawn Sprinkler System :r— Roof drains:r— Hose bibb:r— Drinking fountain :r -- Grease trap;[•—� Grease interceptor:r— P-trap;r— Sewer New sewerr— Sewer alter/repair:r— Sewerabandonment:r- 0