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HomeMy WebLinkAboutH2021-0668 - Permit ApplicationPrint Form Worksheet for Electrical/Mechanical/ Plumbing Application Wa City of Newport Beach A C Building Division -yT-��. 1. Proj\ect�Addrrss (Not mailing addr/es�s), Building Permit No. Hzoz1_b6O/h b r.. 1j',�. lJ(/Ut' `L riV V iN1 W r 1e.7 1 '� - Floor �— Suite F- F_ r-- 2. Owners Name Last Fir[ Owner's Stre't Address 6806 WOCEANFRONT, NEWPORr BEACH, CA 92663 City F— State F_ Zip F— Telephone I Owner's E-mail Address r 3. Applicant's Name Last blackmore First AppliCanfs Street Address j'� 2735 de soto ave, costa mesa, ca 92626 City I State F_ Zip �— Telephone 949274.6585 Applicant's E-mail Address j abdesign@gmaiLcom I— 4.Contractoes Name Last kennedy First enn State Lic# 1013886 Contractor's Street Address Birch St STE 220, Newport Beach, CA 92660 Telephone (949) 863-9099 Contractors E-mail Address Mechanical Furnace Quantity up to 100,000 btuF— over 100,000 btu f - walVRoor heatersF— Heat Pumps/Package Units up to 100,000 btuF— up to 1,000,000 btu:F-- up to 1, 750,000 btul— > 1, 750,000 btur— Boilers/Compressors up to 3 HPr- 3 HP-15 HPF 15 HP-30 HP1_- 30 HP-50 HP f >50 HPI— Air Handling Units up to 10,000 CFMI > 10,000 CFMr— VAV Boxl— Repair]Alter/Add HVAC Number of Zonesr— Ventilation Bathroom Fanf— Exhaust Fanr— Attic ExhaustF— Residential Hood_ Commercial Hoodl— Metal Fireplace Gas LmeF— Fire Dampersl— City F State F_ Zip [— Business Lic# F— Electrical Plumbing New Construction Quantity Bathroom Quantity Quantity 1 & 2 Family S.FF— Multi Family S.F�— Receptacle, Switch Lighting Outlets Total Outletsr— Lighting Fixtures Total Fixturesi— Total Low Voltagef— Separate Circuitr— Motorstrransformers 0-1 HP or KVAF— 1-10 HP or KVAr- 10-50 HP or KVA:r- 50-100 HPorKVAF— Over 100 HP or KVAr— Signs One branch circuit f — Add'I branch circuit:_— Service 0-600V not over 200A:_— 0-600V & over 200Ar— over 600V1 Temp PP/Piggy Backr— Sub PanelF— Otherr— Water closet (toilet)I— Bidet �— Urinal �— Bath Tubr— Shower stall Lavatory(basinf_ Hydro-massagetubl— Kitchen Kitchen sink �— Garbage Disposal__ Bar sink Vegetable sink f — Dishwashers— . Laundry/washing trap�— Ice makerr— Floor sink f Miscellaneous Floor dramf __ Water pipingF-- Water softener Water heater f Lavatory (basinf — Gas sys up to 4 outletsF— Gas sys # of outlets over 4r- 0 a'If `(z61 =/ II17-Za21 Backflow device up to 2"r— Backflow device over 2"F— Regulatorsf— Lawn Sprinkler Systemr—_ Roof drainsf— Hose bibbf-- Drinking fountainf-- Greasetrapf— Greaseinterceptor P-trapr— Sewer New sewerF— Sewer alter/repairf-- Sewer abandonmentF—