HomeMy WebLinkAboutX2022-1539 - Permit ApplicationPrint Form I �Iorksheet for Combo Building & Solar Permit Application O�EWCpR�
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r Comm'I Residential �City of Newport Beach -Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
r—Building F_ Grading (—`Drainage F_Elec F_Mech FPlum Cu Yd Cut Cu Yd Fill
Project Address (Not mailing address) F_ Flood F_ Fire F_ Liq F_ Landslide F_N/A Floor Suite No
IIl J"'; Nc�il gp4cll CA 9266'5F F—
Description of Work
Use F—Const Type
ADS g3 g6 �. l
# Stories # Units (if Res)F
Valuation $
Material/Labor
New/AddSF� RemodelSF� Garage/New/Add—
OWNER'S NAME Last First QOoee I
Owner's Address Owner's E-mail Address
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City Nam% r •r State CR Zip o21;43Telephone �7 — (p� _13cq I
APPLICANT'S NAME Last 'Q:Wl(pt_eZ First
Applicant's Address Applicant's E-mail Address
Ili2q McNiff NrE OEic�Ncvrtp�2#Ilon1® CAA K. _C a l
City I Will M e2 State 7C A _ Zip IcOC9� i Telephone ioSB_ %34�
ARCHITECT/DESIGNER'S NAME Last First �—
Lic. No. F__
Architect/Designees Address Architect/Designer's E-mail Address
City State �— Zip Telephone�—
ENGINEER'S NAME Last First Lic. No.F
Engineer's Address Engineer's E-mail Address
City State F— Zip F Telephoned
CONTRACTOR'S NAME/COMPANY M l6-Q_ tN 60W 00" 5 Lic. No. FC1 la3 Class
Contractor's Address _ Contractor's E-mail Address
(IN Mot- f N c,-A D21.4c- Icav,.,
City w�hmee State CA Zip cl Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
Worksheet for Electrical/Mechanical/ Plumbing Application �EWPpRT
Print Form
X �2-EJ LZ .I�q Building City Newport Beach
Building Division
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1. Project Address (Not mailing address) Building Permit No.
11t JV&E INGMIG NMVP-R.r CA- -l*01 Floor F—Suite F_
F_ 2. Owner's Name LastCCFirst
Owner's Street Addraesssr - r, r� r✓�,Sf _ - r�'-
(�(1� '^crlwv' ,jr+�GG'�' City N�'G7 -r StateWA Zip Oj2(�(p3
Telephone gl'j) 6W,73t{l Owner's E-mail Address
F_ 3. Applicant's Name Last j2m�¢16c�`Z First MI�aAa_
Applic�afnt's Street Address J' I ..A r—� I,.,�r� rn
� l l'j t•� JK�LN1J- A OQI�C- City �,�•rl nEgL State CA Zip q06(jJ
Telephone 't, (p 17`7) Applicant's E-mail Address i�& "JbsAmrJ (&W. WA4
F_ 4. Contractor's Name Last MI�UIi l:N First State Lic # I r bE t`_'J
Contractor's Street Address
1 ,Z' l P1tAJw4ISm DR, qt City State I L 14 Zip F q
Telephone M Z (a-v41 Contractor's E-mail Address mk)v &WWC sinessLic# I l3'r;oCJ`r4an
Mechanical
Furnace Quantity
up to 100,000 btu::
over 100,000 btu:
wall/floor heaters:F—
Heat Pumps/Package Units
up to 100,000 btu:
up to 1,000,000 btu:
up to 1, 750,000 btu:
> 1, 750,000 btu:
Boilers/Compressors
up to 3 HP:F---
3 HP-15 HP::
15 HP-30 HP:
30 HP-50 HP::
>50 HP:F---
Air Handling Units
up to 10,000 CFM::
> 10,000 CFM:F_
VAV Box::
Repair/Alter/Add HVAC
Number of Zones:��
Ventilation
Bathroom Fare
Exhaust Fan::
Attic Exhaust::
Residential Hood::
Commercial Hood:
Metal Fireplace::
Gas Line
Fire DamnercF—
Electrical
New Construction Quantity
1 & 2 Family S.F:��
Multi Family S.F:�—
Receptacle, Switch Lighting Outlets
Total Outlets
Lighting Fixtures
Total Fixtures::
Total Low Voltage:
Separate Circuit:
Motors/Transformers
0-1 HP or KVA:
1-10 HP or KVA::
10-50 HP or KVA::
50-100 HP or KVA:
Over 100 HP or KVA:
Signs
One branch circuit:
Add'I branch circuit:
Service
0-600V not over 200A:
0-600V & over 200A::
over 600V::
Temp PP/Piggy Back:
Sub Panel:
Other:
Bathroom Quantity Plumbing Quantity
Water closet (toilet):
Bidet:
Urinal
Bath Tub:r—
Shower stall:i�1`--
Lavatory (basin):
Hydro -massage tub
Kitchen
Kitchen sink
Garbage PIE
Bar sink
Vegetable sink
Dishwasher
Laundry/washing trap:
Ice maker:
Floor sink::
Miscellaneous
Floordrain:
Water piping::
Water softener:
Water heater:
Lavatory (basin)::
Gas sys up to 4 outlets::
Gas sys # of outlets over 4::
Backflow device up to Y':r—
Backflow device over 2" F_
Regulators:
Lawn Sprinkler System
Roof drains:[ --
Hose bibb:�
Drinking fountaim:
Grease trap:
Grease interceptor,:
P-trap::
Sewer
New sewer:
Sewer alter/repair:[--
Sewer abandonment F_